JP6749622B2 - Subcutaneous tissue therapy - Google Patents

Subcutaneous tissue therapy Download PDF

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JP6749622B2
JP6749622B2 JP2019514661A JP2019514661A JP6749622B2 JP 6749622 B2 JP6749622 B2 JP 6749622B2 JP 2019514661 A JP2019514661 A JP 2019514661A JP 2019514661 A JP2019514661 A JP 2019514661A JP 6749622 B2 JP6749622 B2 JP 6749622B2
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subcutaneous tissue
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JPWO2018199298A1 (en
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明治 岩上
明治 岩上
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明治 岩上
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/008Apparatus for applying pressure or blows almost perpendicular to the body or limb axis, e.g. chiropractic devices for repositioning vertebrae, correcting deformation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H39/00Devices for locating or stimulating specific reflex points of the body for physical therapy, e.g. acupuncture
    • A61H39/04Devices for pressing such points, e.g. Shiatsu or Acupressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01Constructive details
    • A61H2201/0119Support for the device
    • A61H2201/0153Support for the device hand-held
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1253Driving means driven by a human being, e.g. hand driven
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1604Head
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1683Surface of interface
    • A61H2201/169Physical characteristics of the surface, e.g. material, relief, texture or indicia
    • A61H2201/1695Enhanced pressure effect, e.g. substantially sharp projections, needles or pyramids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/02Head
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/02Head
    • A61H2205/021Scalp
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/02Head
    • A61H2205/022Face
    • A61H2205/025Forehead
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/04Devices for specific parts of the body neck

Description

この発明は、後頭骨を中心として頸部から前頭筋又は側頭筋に至る頭蓋骨表面を4区分帯に区分けしてそれぞれの区分帯の幅員の幅を保持して構成された頸頭部用の二又状施術部を使用することにより、専門的な技術を要することなく簡易に頸部から前頭筋又は側頭筋に至る4区分帯の皮下組織に刺激を付与して免疫力を向上することができる皮下組織療法施術器に関する。 This invention is for a cervical head that is configured by dividing the skull surface from the neck to the frontal muscle or temporal muscle centering on the occipital bone into four division zones and maintaining the width of each division zone. By using the bifurcated operation part, it is possible to easily give immunity by stimulating the subcutaneous tissue of the four division zones from the neck to the frontal muscle or the temporal muscle without requiring specialized skills. The present invention relates to a surgical instrument for subcutaneous tissue therapy.

従来、頸部から前頭部又は側頭筋にかけては多種多様の筋肉や神経、リンパ管が走行、特に東洋医学上、散在集中したつぼ(経穴)同士を繋ぐ経絡が走行しており、かかる筋肉、神経、リンパ管、及び経絡を刺激することは、血流の改善などの医学的効果、心身の緊張を解きほぐすリラクゼーション効果、揉み解しなどのマッサージ効果が得られる医療法として活用されてきた。そのためにかかる部位の経絡や神経筋や筋肉等を施術者の手指を使用して刺激診療するいわゆる指圧療法がある。 Conventionally, a wide variety of muscles, nerves, and lymph vessels run from the cervical region to the frontal region or the temporal muscle, and especially in oriental medicine, a meridian that connects scattered and concentrated pots (acupuncture points) runs. Stimulation of nerves, lymph vessels, and meridians has been used as a medical method to obtain medical effects such as improvement of blood flow, relaxation effects to relieve mental and physical tension, and massage effects such as kneading. For this reason, there is so-called acupressure therapy in which the meridian and nerve muscles and muscles of such a portion are stimulated and treated by using the operator's fingers.

これは施術者の技量によって患者に与える効果が異なり、従って、多くの施術者に画一的な技量療法を求めることができない欠点があり、しかも、長時間の単純な指圧や揉み作業のため施術者には肉体的負荷が大であり、また、鍛錬して一定水準の指圧技能を習得するためには長期間の実施訓練を必要とする。 This has the drawback that the effect given to the patient depends on the skill of the practitioner, and therefore there is a drawback that many practitioners cannot request uniform skill therapy, and the procedure is performed because of long-term simple shiatsu and rubbing work. The person has a heavy physical load, and requires long-term practice training to train and acquire a certain level of acupressure skills.

そこで、これらの欠点を解消するために一定の形状に構成した指圧器具を用いて施術者の手指に代わって道具により人体のつぼや所定の筋肉を指圧する技術が考案されてきた。 Therefore, in order to eliminate these drawbacks, a technique has been devised in which acupressure devices configured in a certain shape are used to acupressure the pots and predetermined muscles of the human body with tools instead of the fingers of the practitioner.

かかる指圧器具はそのために指圧個所に適合した手指の押圧に代わる一定形状の器具構造とする必要があり、かかる指圧器具の形状に関して多数の意匠や形状特許が出願(例えば、特許文献1参照。)されたり登録されたりしている。 Therefore, it is necessary for the acupressure device to have a device structure of a certain shape that is suitable for acupressure points and that can be used for pressing a finger, and many design and shape patents have been applied for the shape of the acupressure device (for example, refer to Patent Document 1). Registered or registered.

特開平10−43270号公報JP, 10-43270, A

このように一定形状に造形された指圧器具は、例えば雲型に形成された板体の突出部分を患部に押し当て力加減をしながら指圧と同等の効果を狙ったものであったり、患部の指圧個所に応じて型取った造形体であったり、また、複数の患部に同時に押し当て短時間に療養できるように多数の突出部を形成した造形体であったりする。 In this way, the acupressure device shaped into a constant shape is, for example, an object equivalent to acupressure while aiming an effect equal to that of the acupressure while controlling the force by pressing the protruding portion of the cloud-shaped plate against the affected part. The molded body may be a molded body modeled according to the acupressure point, or may be a molded body formed with a large number of protrusions so as to be pressed against a plurality of affected areas at the same time for medical treatment in a short time.

しかも、器具の使用形態としては器具本体中央部に指孔を複数穿設して指孔に指を挿入して手掌部で器具全体を握りしめ一定の形状の器具突部を患部に押し当てて押圧応力が有効に器具から患部に伝播するようにしたものである。 Moreover, as a usage pattern of the device, a plurality of finger holes are formed in the central part of the device body, a finger is inserted into the finger hole, and the entire device is grasped by the palm part, and the device protrusion of a certain shape is pressed against the affected area and pressed. The stress is effectively propagated from the device to the affected area.

しかし、これらの指圧器具はいずれも一長一短を有し、指圧具本体を手掌部で把持し患部に押圧しても、施術者の手掌部の押圧力が有効に器具本体に伝達されないため押圧応力が充分に患部に伝わらず、かえって施術に余分の力を要し施術者の肉体的負荷が大となり長時間施術を行うことが困難となる欠点を有していた。 However, all of these acupressure devices have advantages and disadvantages, and even if the acupressure device body is grasped by the palm part and pressed against the affected area, the pressing force of the practitioner's palm part is not effectively transmitted to the device body, and thus the pressing stress is generated. However, it has a drawback that it does not reach the affected area sufficiently and that it requires extra force for the operation, which increases the physical load on the operator and makes it difficult to perform the operation for a long time.

また、頭部における頭蓋骨への刺激療法を行うためには指圧具形状が頭部の略全表面に共通に使用できる構造となっていないため患部の頭部位置によっては異なる形状の指圧具を多数そろえておく必要があり、指圧療法が煩雑となり療法器具も高価となる等の欠点があり、結局は、一個の施術器で後頭部から頭頂部に至る広範囲で簡便にかつ可及的に少ない肉体的負荷で有効な皮下組織の刺激施術が行うことができるものがなかった。 Further, in order to perform stimulation therapy to the skull in the head, since the shape of the acupressure tool is not a structure that can be commonly used on almost all surfaces of the head, there are many acupressure tools having different shapes depending on the head position of the affected area. It is necessary to prepare all of them, and there are drawbacks such as acupressure therapy being complicated and the therapy equipment being expensive.In the end, a single surgical instrument can be used in a wide range from the back of the head to the top of the head, easily and with as little physical as possible. There was nothing that could perform effective subcutaneous tissue stimulation under load.

上記従来の課題を解決するために、この発明は、把持部と把持部の先端に形成した頸頭部用の二又状施術部と把持部の後端に形成したグリップ部とにより施術器本体を構成し、しかも、頸頭部用の二又状施術部は施術時に頸部に近い方に位置する下方突起と頭頂部に近い方に位置する上方突起の組み合わせにより構成し、二又状施術部の上方突起前端と下方突起前端は頭蓋骨表面を後頭部から前頭部にかけて4区分帯に区分けした場合の各区分帯に跨って定置可能な間隔に形成しており、しかも、頭蓋骨を後頭部から前頭部にかけて区分した4区分帯のうち、頭蓋骨表面を区分けした第1区分帯は、左右側頭骨間の頭蓋底を層状に被覆する後頭下筋群部分で、且つ頭項線中の下項線と頭項線中の上項線との間に位置する表面湾曲状エリアを仮定し、頭蓋骨表面を区分けした第2区分帯は、左右側頭骨間の頭蓋冠後半部を被覆する後頭筋部分と帽状腱膜部分で、且つ頭項線中の上項線と前頭筋との間におけるエリアと左右側頭骨のエリアとの各エリアで区画された表面湾曲状エリアを仮定し、頭蓋骨表面を区分けした第3区分帯は、左右側頭骨間の頭蓋冠前半部を被覆する前頭筋部分で区画された表面湾曲状エリアを仮定し、頭蓋骨表面を区分けした第4区分帯は、左右側頭骨を被覆する側頭筋部分で区画された表面湾曲状エリアを仮定した場合において、二又状施術部の上下方突起前端の間隔は、第1区分帯と第2区分帯との境界線を跨いで下方突起が第1区分帯の経絡に、上方突起が第2区分帯の経絡にそれぞれ当接する間隔、第2区分帯のエリア内において各前後方向に散在する前後経絡に当接する間隔、第2区分帯と第3区分帯との境界線に沿って上方突起を変位させながら下方突起が第3区分帯の経絡に当接する間隔、第2区分帯と第4区分帯との境界線に沿って上方突起を変位させながら、下方突起が第4区分帯の経絡に当接する間隔等、各間隔を充足することを特徴とする皮下組織療法施術器を提供せんとするものである。 In order to solve the above-mentioned conventional problems, the present invention provides a surgical instrument main body including a grip portion, a bifurcated cervical operation portion formed at the tip of the grip portion, and a grip portion formed at the rear end of the grip portion. In addition, the bifurcated operation part for the cervical head is composed of a combination of a lower projection located closer to the neck and an upper projection located closer to the crown at the time of operation. The anterior end of the superior process and the anterior end of the inferior process of the part are formed so that the skull surface can be placed over each of the divided zones when the skull surface is divided into four divided zones from the occipital region to the frontal region. Of the four sections divided into the head, the first section that divides the skull surface is the suboccipital muscle group portion that covers the skull base between the left and right temporal bones in layers, and the lower term line in the headline. Assuming a curved surface area located between the upper term line and the upper term line in the head line, the second zone that divides the skull surface is the occipital muscle part that covers the posterior half of the calvaria between the left and right temporal bones. Assuming a curved surface area defined by the aponeurosis and the area between the superior line of the head line and the frontal muscle and the areas of the left and right temporal bones, the skull surface is divided. The third segmented zone is assumed to be a curved surface area defined by the frontal muscle portion covering the anterior half of the calvaria between the left and right temporal bones, and the fourth segmented zone that divides the skull surface covers the left and right temporal bones. Assuming a curved surface area divided by the temporal muscle part, the distance between the front ends of the upper and lower protrusions of the bifurcated treatment part is lower than the boundary line between the first division zone and the second division zone. The intervals in which the protrusions contact the meridians of the first section band, the upper projections contact the meridians of the second section band, the intervals contact the front and back meridians scattered in the front-rear direction in the area of the second section band, and the second section band. And a third section band, while the upper projection is displaced along the boundary line, the lower projection contacts the meridian of the third section band, the upper projection along the boundary line between the second section band and the fourth section band. It is intended to provide a subcutaneous tissue therapy surgical instrument characterized by satisfying the respective intervals such as the intervals at which the lower protrusion abuts on the meridian of the fourth section band while displacing.

また、二又状施術部の下方突起は、上方突起よりも先端方向に長く突出した形状に構成し、しかも、二又状施術部の上下方突起前端の間隔は、第1区分帯と第2区分帯との境界線を跨いで長い方の下方突起が第1区分帯の経絡に短い方の上方突起が第2区分帯の経絡にそれぞれ当接する間隔、第2区分帯のエリア内において各前後方向に散在する前後経絡に当接する間隔、第2区分帯と第3区分帯との境界線に沿って短い方の上方突起を変位させながら長い方の下方突起が第3区分帯の経絡に当接する間隔、第2区分帯と第4区分帯との境界線に沿って短い方の上方突起を変位させながら長い方の下方突起が第4区分帯の経絡に当接する間隔等、各間隔を充足することを特徴とする。 Further, the lower protrusion of the bifurcated treatment portion is configured to project longer in the tip direction than the upper protrusion, and the front end of the upper and lower protrusions of the bifurcated treatment portion is separated from the first section by the second section. An interval in which the longer downward projection abuts on the meridian of the first section and the shorter upper projection abuts the meridian of the second section on the boundary between the section and the front and rear of the area of the second section. The abutment with the front and back meridians scattered in the direction, while the shorter upper projection is displaced along the boundary line between the second section band and the third section band, the longer lower projection contacts the meridian of the third section band. Satisfies each interval such as the contacting interval, the interval at which the longer lower projection abuts the meridian of the fourth partitioning band while displacing the shorter upper projection along the boundary line between the second partitioning band and the fourth partitioning band. It is characterized by doing.

また、二又状施術部の上方突起は把持部の軸線方向に沿って突出させると共に、下方突起は把持部の軸線方向に対して約40°〜60°傾斜して設けていることを特徴とする。 In addition, the upper protrusion of the bifurcated treatment portion is projected along the axial direction of the grip portion, and the lower protrusion is inclined about 40° to 60° with respect to the axial direction of the grip portion. To do.

また、二又状施術部の上下方突起は扁平状とし、扁平先端縁は肉厚中央部を凹状に形成することにより扁平両側面に左右両側突縁部を形成したことを特徴とする。 In addition, the upper and lower projections of the bifurcated treatment portion are flat, and the flat leading edge is formed by recessing the central portion of the wall thickness, thereby forming left and right projecting edge portions on both flat sides.

また、二又状施術部とグリップ部との間の棒状の把持部を施術者の手掌握部の幅員として把持した際に手掌握部の幅員両端面が二又状施術部とグリップ部に密着するように構成したことを特徴とする。 Further, when the bar-shaped gripping part between the bifurcated operation part and the grip part is grasped as the width of the palm grip part of the practitioner, both widthwise end surfaces of the palm grip part are in close contact with the bifurcated operation part and the grip part. It is characterized in that it is configured to.

また、二又状施術部は先端に向かっては漸次先鋭状とすると共に、最先端部分は平面視アール形状、側面視先端漸次肉薄状としたことを特徴とする。 Further, the bifurcated portion is characterized in that it is gradually sharpened toward the distal end, and the distal end portion is rounded in plan view and gradually thinned in side view.

また、把持部の前端に形成した二又状施術部の機能表面は滑り摩擦が大となるような粗造面に形成したことを特徴とする。 Further, the functional surface of the bifurcated treatment portion formed at the front end of the grip portion is characterized by being formed into a rough surface so that sliding friction is large.

また、施術器本体は素材を樹脂とし、施術作業時に重量感を保持し安定した施術が実施できるように構成したことを特徴とする。 In addition, the main body of the treatment device is made of resin, and is configured so that a weight feeling can be maintained during the treatment work and a stable treatment can be performed.

請求項1の発明によれば、二又状施術部は基本的に頭蓋骨の球表面をなぞりながら患部を押圧刺激しながら施術するものであるため頭蓋骨に対して最も押圧応力のかかる方向をうつ伏せに寝た患者の頭部の垂直方向、要するに、患者の起立姿勢での頭部水平方向を4区分帯に区分けしこの4区分帯を頭蓋骨の後面部から頭頂部にかけて皮下組織の刺激療法をすることができる。 According to the invention of claim 1, since the bifurcated operation part is basically operated by tracing the spherical surface of the skull while pressing and stimulating the affected part, the direction in which the pressing stress is most applied to the skull is turned down. The vertical direction of the head of the sleeping patient, that is, the horizontal direction of the head in the standing position of the patient is divided into 4 sections, and the 4 sections are subjected to subcutaneous tissue stimulation therapy from the posterior surface of the skull to the crown. You can

ここで頭蓋骨を後頭部から前頭部にかけて4区分帯に区画した場合、頭蓋骨表面を区分けした第1区分帯は、左右側頭骨間の頭蓋底を層状に被覆する後頭下筋群部分で、且つ頭項線中の下項線と頭項線中の上項線との間に位置する表面湾曲状エリアを仮定し、頭蓋骨表面を区分けした第2区分帯は、左右側頭骨間の頭蓋冠後半部を被覆する後頭筋部分と帽状腱膜部分で、且つ頭項線中の上項線と前頭筋との間におけるエリアと左右側頭骨のエリアとの各エリアで区画された表面湾曲状エリアを仮定し、頭蓋骨表面を区分けした第3区分帯は、左右側頭骨間の頭蓋冠前半部を被覆する前頭筋部分で区画された表面湾曲状エリアを仮定し、頭蓋骨表面を区分けした第4区分帯は、左右側頭骨を被覆する側頭筋部分で区画された表面湾曲状エリアを仮定している。 Here, when the skull is divided into four division zones from the occipital region to the frontal region, the first division zone that divides the surface of the skull is the suboccipital muscle group portion that covers the skull base between the left and right temporal bones in layers, and Assuming a curved surface area located between the lower term line of the nodal line and the upper term line of the head nodal line, the second zone that divides the skull surface is the second half of the calvaria between the left and right temporal bones. In the occipital muscle portion and cap-shaped aponeurosis portion that cover, and a surface curved area partitioned by each area of the area between the superior line of the head line and the frontal muscle and the area of the left and right temporal bones. Assuming that the 3rd division zone that divides the skull surface is the 4th division zone that divides the skull surface, assuming a surface curved area divided by the frontal muscle part that covers the anterior half of the calvaria between the left and right temporal bones. Assumes a curved surface area defined by the temporal muscle portion covering the left and right temporal bones.

このような各区分帯に対して施術器本体を垂直に押し当て把持部の軸線方向に押圧応力をかけると、この押圧応力は均等に上下方突起を介して患部に伝わり各区分帯上下縁の皮下組織の経絡等を刺激することができる効果がある。 When the surgical instrument main body is vertically pressed against each of these segment bands to apply a pressing stress in the axial direction of the grip, the pressing stress is evenly transmitted to the affected area via the upper and lower projections, and It has the effect of stimulating the meridians of the subcutaneous tissue.

すなわち、本発明では、うつ伏せの頭部略球体に対し垂直の入力方向としても上下方突起先端は頭部患部に密着当接し刺激応力を可及的最大限に発揮できるような二又状施術部構造としたことに特徴がある。 That is, in the present invention, the tip of the upper and lower projections is in close contact with the affected part of the head even when the input direction is perpendicular to the prone head substantially spherical body, and the bifurcated treatment part capable of exerting stimulation stress to the maximum extent possible. It is characterized by the structure.

また、うつ伏せに寝た患者の頭部の4区分帯をうつ伏せ頭蓋骨の後面から垂直方向に刺激する場合は、頭部の表面形状は各区分帯の下縁線程に施術器本体からみて遠くにある。 Also, when stimulating the 4-section zone of the head of a patient lying prone in the vertical direction from the posterior surface of the prone skull, the surface shape of the head is far from the main body of the surgical instrument along the lower edge line of each zone. ..

すなわち、仮に上下方突起が同一長さであれば4区分帯に対して施術器本体を垂直姿勢とすれば各区分帯の下縁に向かっている下方突起は、各区分帯の上縁線に向かっている上方突起よりも遠くに位置することになる。 That is, if the upper and lower protrusions have the same length, the lower protrusions that are directed toward the lower edge of each division band are aligned with the upper edge line of each division band if the surgical instrument main body is in a vertical posture with respect to the four division bands. It will be located farther than the upward projection that is facing.

そのために必然的に各突起が頭蓋骨の患部に均等に当接するために下方突起を上方突起よりも必然的に長く形成する。 Therefore, since the projections necessarily contact the affected part of the skull evenly, the lower projection is necessarily formed longer than the upper projection.

かかる論理に適合する形状として、請求項2に係る発明では、二又状施術部の下方突起は、上方突起よりも先端方向に長く突出した形状に構成、すなわち頸頭部用の二又状施術部を施術時に頭蓋骨に遠い方に位置する下方突起と近い方に位置する上方突起との組み合わせにより構成し、その結果、うつ伏せの頭蓋骨の各区分帯に垂直方向に棒状の把持部を押圧することにより先端長さが異なる上下方突起は異なる位置の皮下細胞へ可及的有効で均等な刺激を付与することができる効果がある。 As a shape conforming to such a logic, in the invention according to claim 2, the lower projection of the bifurcated operation portion is configured to project longer in the distal direction than the upper projection, that is, the bifurcated operation for the neck and head. Part of the skull is combined with an inferior protrusion located farther from the skull and an upper protrusion located closer to the skull, and as a result, a rod-shaped gripping portion is pressed vertically against each section of the prone skull. Thus, the upper and lower protrusions having different tip lengths have the effect of being able to apply the most effective and uniform stimulus to subcutaneous cells at different positions.

しかも、二又状施術部の上下方突起の前端同士の間隔は4区分帯に共通して使用できるように、第1区分帯と第2区分帯との境界線を跨いで長い方の下方突起が第1区分帯の経絡に短い方の上方突起が第2区分帯の経絡にそれぞれ当接する間隔、第2区分帯のエリア内において各前後方向に散在する前後経絡に当接する間隔、第2区分帯と第3区分帯との境界線に沿って短い方の上方突起を変位させながら長い方の下方突起が第3区分帯の経絡に当接する間隔、第2区分帯と第4区分帯との境界線に沿って短い方の上方突起を変位させながら長い方の下方突起が第4区分帯の経絡に当接する間隔等、各間隔を充足する前端間隔を構成しているので、一個の施術器のみで頭蓋骨のほぼ全体の必要な皮下組織の刺激をこなすことができることになり、施術効率を向上することができると共に、特に熟練を要することなく多数の施術者が共通した一定レベルの施術技術を患者に施すことができる。 In addition, the distance between the front ends of the upper and lower projections of the bifurcated treatment part can be commonly used for the four section bands, so that the longer one of the lower projections straddles the boundary line between the first section band and the second section band. Is the interval at which the shorter upper projections contact the meridians of the first section band respectively contact the meridians of the second section band, the intervals at which they contact the front and rear meridians scattered in the respective front-rear directions within the area of the second section band, the second section An interval in which the shorter lower protrusion abuts the meridian of the third segment while displacing the shorter upper protrusion along the boundary line between the strip and the third segment, and the second segment and the fourth segment Since the shorter upper protrusion is displaced along the boundary line and the longer lower protrusion abuts on the meridian of the fourth section zone, the front end interval satisfying each interval is configured, so that one treatment device is provided. Only by doing so, it is possible to perform the necessary stimulation of the subcutaneous tissue of almost the entire skull, and it is possible to improve the efficiency of the operation and at the same time, a certain level of operation technique common to many practitioners without requiring special skill. Can be given to patients.

請求項3の発明によれば、各区分帯に対して施術器本体を垂直に押し当て把持部の軸線方向に押圧応力をかけた際の押圧応力をより均等に上下方突起を介して患部に伝え、各区分帯上下縁の皮下組織の経絡等を刺激することができる効果がある。 According to the invention of claim 3, when the main body of the practitioner is vertically pressed against each of the division bands to apply a pressing stress in the axial direction of the gripping portion, the pressing stress is more evenly applied to the affected area via the upper and lower projections. It is effective in stimulating the meridians of the subcutaneous tissue at the upper and lower edges of each zone.

請求項4の発明によれば、施術時に頭蓋骨表面の皮膚接点が多い分摩擦抵抗が大となり、安定した押圧力を患部に対してかけることができる効果がある。 According to the invention of claim 4, there is an effect that a large amount of skin contacts on the surface of the skull at the time of operation increases frictional resistance, and a stable pressing force can be applied to the affected area.

請求項5の発明によれば、棒状の把持部を把持するために丸めた手掌握部の幅員は二又状施術部とグリップ部に密着して収まるので手掌握部での把持応力を充分に発揮でき施術者の意のままに患部への押圧力を施術器を介して伝えることができ、患部に対して確実な皮下組織刺激を行うことができる効果がある。 According to the fifth aspect of the present invention, the width of the palm gripping portion which is rounded for gripping the rod-shaped gripping portion fits tightly between the bifurcated operation portion and the gripping portion, so that the gripping stress at the palm gripping portion is sufficiently increased. It can be exerted and the pressing force to the affected area can be transmitted as desired by the practitioner through the operation device, and there is an effect that a reliable subcutaneous tissue stimulation can be performed on the affected area.

請求項6の発明によれば、患部の施術有効点に適確に定置することができると共に、患部に不要な過度の刺激を付与することなく患部皮下組織に有効に二又状施術部を機能させることができる効果がある。 According to the sixth aspect of the present invention, the bifurcated treatment portion can be accurately placed at the treatment effective point of the affected area and effectively functions on the affected subcutaneous tissue without giving unnecessary excessive stimulation to the affected area. There is an effect that can be made.

請求項7の発明によれば、把持部の前端に形成した二又状施術部の機能表面は滑り摩擦が大となるような粗造面に形成したことにより、患部表面に施術器を押圧した場合に滑動してずれる虞が無く施術器を患部皮下組織に確実に位置させて施術操作作業を効率よく機能的に行うことできる効果がある。 According to the invention of claim 7, the functional surface of the bifurcated treatment portion formed at the front end of the grip portion is formed as a rough surface so that the sliding friction is large, so that the treatment instrument is pressed against the surface of the affected portion. In this case, there is no risk of slipping and slipping, and there is an effect that the operation device can be reliably positioned in the affected subcutaneous tissue and the operation operation work can be performed efficiently and functionally.

請求項8の発明によれば、施術器本体は素材を樹脂とし、施術作業時に重量感を保持し安定した施術が実施できるように構成したことことにより、施術器本体の自重により施術器具の把持と共に施術操作を行い易くすることができる効果がある。 According to the invention of claim 8, the material of the surgical instrument main body is made of resin, and the surgical instrument main body is configured to hold a feeling of weight during the surgical operation so that a stable surgical operation can be performed. At the same time, there is an effect that the operation operation can be easily performed.

本実施形態に係る皮下組織療法施術器の正面図である。It is a front view of the subcutaneous tissue treatment operation instrument concerning this embodiment. 本実施形態に係る皮下組織療法施術器の正面図である。It is a front view of the subcutaneous tissue treatment operation instrument concerning this embodiment. 本実施形態に係る皮下組織療法施術器の正面図及び平面図である。It is a front view and a top view of a subcutaneous tissue treatment operation instrument concerning this embodiment. 本実施形態に係る皮下組織療法施術器の使用例を示す説明図である。It is explanatory drawing which shows the usage example of the subcutaneous tissue therapy operation apparatus which concerns on this embodiment. 本実施形態に係る皮下組織療法施術器の使用例を示す説明図である。It is explanatory drawing which shows the usage example of the subcutaneous tissue therapy operation apparatus which concerns on this embodiment. 本実施形態に係る皮下組織療法施術器の使用例を示す説明図である。It is explanatory drawing which shows the usage example of the subcutaneous tissue therapy operation apparatus which concerns on this embodiment. 本実施形態に係る皮下組織療法施術器の使用例を示す説明図である。It is explanatory drawing which shows the usage example of the subcutaneous tissue therapy operation apparatus which concerns on this embodiment. 頭蓋骨表面を区分けした場合の正面斜視図である。It is a front perspective view at the time of dividing the skull surface. 頭蓋骨表面を区分けした場合の背面斜視図である。It is a rear perspective view when the surface of the skull is divided. 頭蓋骨表面を区分けした場合の正面図である。It is a front view at the time of dividing the skull surface. 頭蓋骨表面を区分けした場合の背面図である。It is a rear view when the skull surface is divided. 頭蓋骨表面を区分けした場合の側面図である。It is a side view at the time of dividing the skull surface. 本実施形態に係る皮下組織療法施術器の二又状施術部の正面拡大図である。It is a front enlarged view of the bifurcated operation part of the subcutaneous tissue therapy operation device concerning this embodiment. 本実施形態に係る皮下組織療法施術器の変形例を示す正面図、平面図、及び断面図である。It is a front view, a top view, and a sectional view showing a modification of a subcutaneous tissue treatment operation instrument concerning this embodiment. 本実施形態に係る皮下組織療法施術器の変形例を示す斜視図及び平面図である。It is a perspective view and a top view showing a modification of a subcutaneous tissue treatment operation instrument concerning this embodiment. 本実施形態に係る皮下組織療法施術器の変形例を示す斜視図及び平面図である。It is a perspective view and a top view showing a modification of a subcutaneous tissue treatment operation instrument concerning this embodiment. 本実施形態に係る皮下組織療法施術器の把持状態を示す説明図である。It is explanatory drawing which shows the holding|grip state of the subcutaneous tissue therapy operation instrument which concerns on this embodiment. 本実施形態に係る皮下組織療法施術器の把持状態を示す説明図である。It is explanatory drawing which shows the holding|grip state of the subcutaneous tissue therapy operation instrument which concerns on this embodiment. 本実施形態に係る皮下組織療法施術器の把持状態を示す説明図である。It is explanatory drawing which shows the holding|grip state of the subcutaneous tissue therapy operation instrument which concerns on this embodiment. 本実施形態に係る皮下組織療法施術器の使用例を示す説明図である。It is explanatory drawing which shows the usage example of the subcutaneous tissue therapy operation apparatus which concerns on this embodiment. 本実施形態に係る皮下組織療法施術器の使用例を示す説明図である。It is explanatory drawing which shows the usage example of the subcutaneous tissue therapy operation apparatus which concerns on this embodiment. 本実施形態に係る皮下組織療法施術器の使用例を示す説明図である。It is explanatory drawing which shows the usage example of the subcutaneous tissue therapy operation apparatus which concerns on this embodiment.

本発明の要旨は、把持部と把持部の先端に形成した頸頭部用の二又状施術部と把持部の後端に形成したグリップ部とにより施術器本体を構成し、しかも、頸頭部用の二又状施術部は施術時に頸部に近い方に位置する下方突起と頭頂部に近い方に位置する上方突起の組み合わせにより構成し、二又状施術部の上方突起前端と下方突起前端は頭蓋骨表面を後頭部から前頭部にかけて4区分帯に区分けした場合の各区分帯の両側縁線に跨って定置可能な間隔に形成しており、しかも、頭蓋骨を後頭部から前頭部にかけて区分した4区分帯のうち、頭蓋骨表面を区分けした第1区分帯は、左右側頭骨間の頭蓋底を層状に被覆する後頭下筋群部分で、且つ頭項線中の下項線と頭項線中の上項線との間に位置する表面湾曲状エリアを仮定し、頭蓋骨表面を区分けした第2区分帯は、左右側頭骨間の頭蓋冠後半部を被覆する後頭筋部分と帽状腱膜部分で、且つ頭項線中の上項線と前頭筋との間におけるエリアと左右側頭骨のエリアとの各エリアで区画された表面湾曲状エリアを仮定し、頭蓋骨表面を区分けした第3区分帯は、左右側頭骨間の頭蓋冠前半部を被覆する前頭筋部分で区画された表面湾曲状エリアを仮定し、頭蓋骨表面を区分けした第4区分帯は、左右側頭骨を被覆する側頭筋部分で区画された表面湾曲状エリアを仮定した場合において、二又状施術部の上下方突起前端の間隔は、第1区分帯と第2区分帯との境界線を跨いで下方突起が第1区分帯の経絡に上方突起が第2区分帯の経絡にそれぞれ当接する間隔、第2区分帯のエリア内において各前後方向に散在する前後経絡に当接する間隔、第2区分帯と第3区分帯との境界線に沿って上方突起を変位させながら下方突起が第3区分帯の経絡に当接する間隔、第2区分帯と第4区分帯との境界線に沿って上方突起を変位させながら下方突起が第4区分帯の経絡に当接する間隔等、各間隔を充足することを特徴とする皮下組織療法施術器を提供することにある。 The gist of the present invention is to configure a surgical instrument main body with a grip portion, a bifurcated procedural operation portion for the head of the neck formed at the tip of the grip portion, and a grip portion formed at the rear end of the grip portion. The bifurcated procedural part is composed of a combination of a lower protrusion located closer to the neck and an upper protrusion located closer to the parietal region during operation. The anterior end is divided into 4 sections from the occipital region to the forehead, and the front end is formed with an interval that can be placed over both edge lines of each division band. Moreover, the skull is divided from the occipital region to the frontal region. Of the four divided zones, the first divided zone that divides the surface of the skull is the suboccipital muscle group portion that covers the skull base between the left and right temporal bones in layers, and the lower term line and the head term line in the head term line. Assuming a curved surface area that is located between the upper and the medial superior line, the second division zone that divides the surface of the skull is the occipital muscle portion that covers the posterior half of the calvaria between the left and right temporal bones and the cap aponeurosis. A third section in which the skull surface is sectioned by assuming a surface-curved area that is divided into areas, that is, the area between the upper line of the head line and the frontal muscle, and the areas of the left and right temporal bones. The band is assumed to be a curved surface area defined by the frontal muscle part covering the anterior half of the calvaria between the left and right temporal bones, and the fourth segmented zone that divides the surface of the skull is the temporal muscle covering the left and right temporal bones. Assuming that the curved surface area is divided into parts, the interval between the front ends of the upper and lower protrusions of the bifurcated treatment part is such that the lower protrusion is first across the boundary line between the first section band and the second section band. The intervals at which the upper protrusions abut the meridians of the section bands, respectively, the intervals at which the upper protrusions abut the front and back meridians scattered in the respective front-rear directions within the area of the second sections, the second section band and the third section band. The lower protrusion while displacing the upper protrusion along the boundary line with and the lower protrusion while displacing the upper protrusion along the boundary line between the second segment band and the fourth segment band. It is an object of the present invention to provide a subcutaneous tissue therapy surgical instrument characterized by satisfying each interval, such as the interval at which the protrusion abuts the meridian of the fourth section band.

本発明に係る皮下組織療法施術器は、一般的なマッサージ器のように単に「押す」、「摩る」役割を果たしてマッサージ効果を得ようとするものとは根本的に異なり、「皮膚のストレッチ状況下」で「押す」「回す」「引き寄せる」ことによりその下の組織が押圧方向から逃れることなく圧縮され、組織やリンパ、筋靭帯等の活性化を図るための、頭皮下組織のストレッチ伸張押圧専用の器具である。 The subcutaneous tissue therapy device according to the present invention is fundamentally different from a device that simply "presses" and "rubs" to obtain a massage effect like a general massage device. By "pushing", "turning", and "pulling" under the "circumstance", the tissue underneath is compressed without escaping from the pressing direction, and stretch extension of the subcutaneous tissue of the head to activate the tissue, lymph, muscle ligament, etc. It is a device dedicated to pressing.

頭皮は、皮膚、結合組織、帽状腱膜、疎性輪紋状結合組織、頭蓋骨膜5つに分けられ、皮膚は、さらに表皮組織、真皮組織、皮下組織に分けられる。 The scalp is divided into five parts: skin, connective tissue, aponeurosis, sparse ring-like connective tissue and skull periosteum, and the skin is further divided into epidermal tissue, dermal tissue and subcutaneous tissue.

表皮組織は角質層,顆粒層、有棘層及び基底層、真皮組織は乳頭層、乳頭下層、網上層、血管、神経、皮脂腺及び汗腺等の付属器からなり、皮下組織は多量の脂肪や毛細血管を有した組織でありクッション機能により組織を保護する役割が有る。 The epidermal tissue consists of stratum corneum, granular layer, spinous layer and basal layer, and dermal tissue consists of appendages such as papillary layer, subpapillary layer, reticular layer, blood vessels, nerves, sebaceous glands and sweat glands, and subcutaneous tissue contains a large amount of fat and capillaries. It is a tissue having blood vessels and has a role of protecting the tissue by a cushion function.

頭皮下の頭頂部は大半が帽状腱膜により覆われており、人体の他の部位よりも結合組織が薄く堅いため、手指による指圧力は皮膚のみにしか伝わらない。 Most of the parietal region under the head of the head is covered with a cap-like aponeurosis, and the connective tissue is thinner and stiffer than other parts of the human body, so finger pressure from fingers is transmitted only to the skin.

しかしながら、摩擦係数を大とした皮下組織療法施術器を使用すれば、皮膚だけの押圧と異なり、患部の皮膚面を滑らずに掴むように皮下組織を捕らえた安定状態で押圧力を表皮組織の血管、神経、汗腺等の人体有用機能部に押圧刺激を与えて整体施術効果を向上する。 However, if a subcutaneous tissue therapy device with a large friction coefficient is used, unlike pressing only on the skin, the pressing force of the epidermal tissue can be applied in a stable state in which the subcutaneous tissue is grasped so as to grasp the skin surface of the affected area without slipping. The effect of manipulative treatment is improved by applying a pressure stimulus to useful functional parts of the human body such as blood vessels, nerves and sweat glands.

すなわち、二又状施術部が皮膚と接触する機能表面において、その接触面積を増大させ、しかも粗造面を形成して摩擦抵抗を大きくすることにより、「頭皮を皮下組織ごと掴み引っ張る」、要するに皮膚を最大最高に伸張して皮下組織細胞の逃げ場のない状態とするように突っ張っらせ、皮膚と頭蓋骨との間の帽状腱膜及び前頭筋、後頭筋、側頭筋の堅くなった組織を押し潰す様に最大限に引っ張った上で回したり押したりする器具であると言える。 That is, on the functional surface where the bifurcated treatment part comes into contact with the skin, by increasing the contact area and forming a rough surface to increase the frictional resistance, "grasp and pull the scalp together with the subcutaneous tissue", in short The skin is stretched to the maximum extent and stretched so that there is no escape of subcutaneous tissue cells, and the cap aponeurosis between the skin and the skull and the stiff tissue of the frontal, occipital, and temporal muscles It can be said that it is a device that can be rotated and pushed after being pulled to the maximum like crushing.

以下、具体的な実施の形態を図面に基づき詳細に説明する。図1及び図2は本実施形態に係る皮下組織療法施術器の正面図、図3(a)及び図3(b)は本実施形態に係る皮下組織療法施術器の正面図及び平面図、図4〜図7並びに図20〜図22は皮下組織療法施術器の使用例を示す説明図、図8〜図12は頭部を施術区域として区分帯に区分けした場合の説明図、図13は二又状施術部の上下方突起の前端を拡大した正面図、図14〜図16は本実施形態に係る皮下組織療法施術器の変形例を示す説明図、図17〜図19は施術者の手掌により皮下組織療法施術器を把持した状態を示す説明図である。 Hereinafter, specific embodiments will be described in detail with reference to the drawings. 1 and 2 are front views of a subcutaneous tissue therapy surgical instrument according to the present embodiment, and FIGS. 3(a) and 3(b) are front views and plan views of the subcutaneous tissue therapy surgical instrument according to the present embodiment. 4 to FIG. 7 and FIG. 20 to FIG. 22 are explanatory views showing an example of use of the subcutaneous tissue therapy operation device, FIG. 8 to FIG. 12 are explanatory views when the head is divided into division zones as the treatment area, and FIG. Moreover, the front view which expanded the front-end of the upper and lower protrusion of the curved operation part, FIGS. 14-16 is explanatory drawing which shows the modification of the subcutaneous tissue therapy operation device which concerns on this embodiment, and FIGS. 17-19 is a palm of a practitioner. It is explanatory drawing which shows the state which hold|gripped the subcutaneous tissue therapy operation device by.

〔1.実施形態〕
本発明に係る皮下組織療法施術器Aにおいて施術器本体1は、図1及び図3に示すように、棒状或いは細幅平板状の把持部2と、把持部2の先端に形成した頸頭部用の二又状施術部3と、把持部2の後端に形成したグリップ部4と、により構成されている。
[1. Embodiment)
In the subcutaneous tissue therapy surgical instrument A according to the present invention, as shown in FIGS. 1 and 3, the surgical instrument main body 1 has a rod-shaped or narrow flat plate-shaped grip portion 2 and a neck head formed at the tip of the grip portion 2. It is composed of a bifurcated treatment part 3 and a grip part 4 formed at the rear end of the grip part 2.

しかも、施術器本体1における頸頭部用の二又状施術部3は施術時に頸部や顔面部に近い方に位置する下方突起6と頭頂部に近い方に位置する上方突起5の組み合わせにより構成している。すなわち、施術器本体1は、図1及び図3に示すように略Y字状に形成しており、そのY字形において中央部で伸延する肉厚部分を把持部2とし、把持部2先端から二股に分岐して伸延する部分を二又状施術部3としている。 Moreover, the bifurcated operation part 3 for the cervical head of the operation device body 1 is formed by the combination of the lower protrusion 6 located closer to the neck and the face and the upper protrusion 5 located closer to the crown during the operation. I am configuring. That is, the practitioner main body 1 is formed in a substantially Y shape as shown in FIGS. 1 and 3, and a thick portion extending in the central portion in the Y shape is used as a grip portion 2, and A bifurcated operation part 3 is a part that bifurcates and extends.

二又状施術部3の上方突起前端5aと下方突起前端6aを当接する位置は、図4〜図6に示すように、患者の頭蓋骨表面を後頭部から前頭部にかけて、第1区分帯C1、第2区分帯C2、第3区分帯C3及び第4区分帯C4の4区分帯に区分し、各区分帯の表面湾曲状エリアに網目状に分布する経絡同士の間に跨がる位置とする。すなわち、二又状施術部3の上方突起前端5aと下方突起前端6aとの間隔は、各区分帯にそれぞれ存在する経絡(つぼ)同士を繋ぐ共通の間隔である。 As shown in FIGS. 4 to 6, the position where the upper protrusion front end 5a and the lower protrusion front end 6a of the bifurcated treatment part 3 are in contact with each other is as shown in FIGS. It is divided into four division bands, that is, a second division band C2, a third division band C3, and a fourth division band C4, and the position is located between the meridians distributed in a mesh shape in the surface curved area of each division band. .. That is, the interval between the front end 5a of the upper protrusion and the front end 6a of the lower protrusion of the bifurcated treatment part 3 is a common interval connecting the meridians (pots) present in each section band.

その理由としては、図4〜図6に示すように、二又状施術部3は基本的に頭蓋骨の球表面をなぞりつつ患部を押圧刺激しながら施術するものであるため、頭蓋骨に対して最も押圧応力のかかる方向は可及的に球表面に対して直角的な入射方向となるような押圧力を最大限に発揮するための二又状施術部構造が望まれる。 The reason is that, as shown in FIGS. 4 to 6, the bifurcated operation part 3 is basically operated by tracing the spherical surface of the skull while pressing and stimulating the affected part. It is desired to have a bifurcated treatment part structure for maximizing the pressing force so that the pressing stress is applied in a direction perpendicular to the spherical surface as much as possible.

一般的に、施術ポイントとしての経絡は頭頂部近傍エリアよりも頸部や顔面部の近傍エリア、すなわち頭頂部の略全域を被覆する肉薄組織の帽状腱膜よりも、肉厚組織である側頭部の側頭筋や、前頭部の前頭筋、後頭下部の複数の筋肉群に多く存在している。また、頭部表面は、頭頂部から遠ざかるほど湾曲率を高くした湾曲部分を経て側頭部や前頭部、後頭下部に至る。 In general, the meridian as an operation point is a thicker tissue side than a hat-shaped aponeurosis of a thin tissue covering almost the entire area of the neck and the face, that is, the parietal region rather than the parietal region. It is abundant in the temporal muscles of the head, the frontal muscles of the frontal region, and multiple muscle groups in the lower occipital region. Further, the head surface reaches the temporal region, the frontal region, and the lower occipital region through a curved portion having a higher bending rate as it gets farther from the parietal region.

すなわち、図8〜図12に示すように本発明では適切な施術ポイントに合わせた施術を行うために頭蓋骨を後頭部から前頭部にかけて4区分帯に区画し、頭蓋骨表面を区分けした第1区分帯C1は、左右側頭骨B4、B4’間の頭蓋底B1を層状に被覆する後頭下筋群M1部分で、且つ頭項線中の下項線D1と頭項線中の上項線D2との間に位置する表面湾曲状エリアを仮定し、頭蓋骨表面を区分けした第2区分帯C2は、左右側頭骨B4、B4’間の頭蓋冠後半部B2を被覆する後頭筋M3部分と帽状腱膜M2部分で、且つ頭項線中の上項線D2と前頭筋M4との間におけるエリアと、左右側頭骨B4、B4’のエリアとの各エリアで区画された表面湾曲状エリアを仮定し、頭蓋骨表面を区分けした第3区分帯は、左右側頭骨B4、B4’間の頭蓋冠前半部B3を被覆する前頭筋M4部分で区画された表面湾曲状エリアを仮定し、頭蓋骨表面を区分けした第4区分帯C4は、左右側頭骨B4、B4’を被覆する側頭筋M5、M5’部分で区画された表面湾曲状エリアを仮定した形状としている。 That is, as shown in FIG. 8 to FIG. 12, in the present invention, the skull is divided into four division zones from the occipital region to the frontal portion in order to perform the treatment in accordance with the appropriate treatment point, and the skull surface is divided into the first division zone. C1 is the suboccipital muscle group M1 part that covers the skull base B1 between the left and right temporal bones B4, B4′ in a layered manner, and includes the lower term line D1 in the head term line and the upper term line D2 in the head term line. The second zone C2 that divides the surface of the skull assuming a surface curved area located between is a occipital muscle M3 portion covering the posterior half of the calvaria B2 between the left and right temporal bones B4 and B4′ and the aponeurosis. Assuming a surface curved area defined by the M2 portion and the area between the upper term line D2 in the head term line and the frontal muscle M4, and the areas of the left and right temporal bones B4, B4′, The third zone that divides the skull surface assumes a surface curved area that is divided by the frontal muscle M4 portion that covers the anterior half of the calvaria B3 between the left and right temporal bones B4 and B4′, and divides the skull surface. The 4-section zone C4 has a shape assuming a surface curved area defined by the temporal muscles M5 and M5′ that cover the left and right temporal bones B4 and B4′.

かかる論理に適合する形状として、特に本実施形態では図1及び3に示すように、頸頭部用の二又状施術部3を施術時に頸部等に近い方に位置する下方突起6と頭頂部に近い方に位置する上方突起5の組み合わせにより構成している。 In particular, in this embodiment, as shown in FIGS. 1 and 3, a bifurcated procedural portion 3 for the cervical head is provided with a lower protrusion 6 and a head which are located closer to the cervical portion or the like during the treatment. It is configured by a combination of upper protrusions 5 located closer to the top.

そして二又状施術部3は、上方突起前端5aと下方突起前端6aとの間隔Lを各区分帯にそれぞれ存在する経絡(つぼ)同士を繋ぐ共通の間隔とするように形成している。 The bifurcated treatment portion 3 is formed so that the interval L between the front end 5a of the upper protrusion and the front end 6a of the lower protrusion is a common interval connecting the meridians (pots) present in each section band.

具体的には、二又状施術部3の上方突起5の前端5aと下方突起の前端6aとの間隔Lは、基本的に東洋医学上の尺度に合わせて形成されており、例えば患者の頭部の大きさや形状、例えば子供用や大人用、女性用や男性用など患者の身体的特徴ごとに存在する一般的な経絡同士の間隔にあわせて形成することができる。なお、本実施形態における二又状施術部3の上方突起の前端5aと下方突起の前端6aとの間隔Lの長さは、約4〜7cm、好ましくは5〜6cmとしている。 Specifically, the interval L between the front end 5a of the upper protrusion 5 and the front end 6a of the lower protrusion of the bifurcated treatment part 3 is basically formed in accordance with the scale of Oriental medicine, for example, the head of a patient. It can be formed according to the size and shape of the part, for example, the interval between common meridians existing for each physical characteristic of a patient such as for children and adults, for women and men. The length L of the interval L between the front end 5a of the upper protrusion and the front end 6a of the lower protrusion of the bifurcated treatment part 3 in this embodiment is about 4 to 7 cm, preferably 5 to 6 cm.

ここで皮下組織療法施術器Aにおける二又状施術部3とは、単に施術器本体1について二又の施術部を形成したものだけでなく施術器本体1の把持部2先端で上下方向に三又、四又、五又、、、といった複数の又状施術部を形成し、この複数の又状施術部のうち各区分帯に適合した間隔の二又部分をも含むものである。 Here, the bifurcated operation part 3 in the subcutaneous tissue therapy operation device A is not only a bifurcated operation part formed on the operation device main body 1 but also a vertical direction at the tip of the grip portion 2 of the operation device main body 1. Also, a plurality of strut-shaped treatment portions such as four-sided, five-sided, and so on are formed, and a plurality of straddle-shaped treatment portions of the plurality of strut-shaped treatment portions are also included at intervals corresponding to each section zone.

すなわち、本発明の二又状施術部3が、図2に示すように施術器本体1における複数の又状施術部に含まれていればよい。なお、図2(a)は三又状施術部において、2つの二又状施術部3、3’が、図2(b)は三又状施術部において、3つの二又状施術部3、3’、3’’が含まれる態様を示している。 That is, it is sufficient that the bifurcated treatment portion 3 of the present invention is included in a plurality of strut treatment portions in the treatment device body 1 as shown in FIG. 2A shows two bifurcated treatment parts 3 and 3'in the trifurcated treatment part, and FIG. 2B shows three bifurcated treatment parts 3 and 3'in the trifurcated treatment part. 3'and 3'' are included.

具体的には、図2(a)や図2(b)に示すように正面視において把持部2の先端で上下方向に連なるように複数の突起を形成した場合に、同複数の突起のうち上下に隣接する2つの突起において、その前端同士の間隔が各区分帯にそれぞれ存在する経絡(つぼ)同士を繋ぐ共通の間隔Lであれば、それら2つの突起5、6や突起5'、6'、突起5''、6''はそれぞれ本発明の上下方突起5、6であり、二又状施術部3を構成していることとなる。 Specifically, as shown in FIG. 2A and FIG. 2B, when a plurality of protrusions are formed so as to be continuous in the vertical direction at the tip of the grip portion 2 in a front view, among the plurality of protrusions, In the two vertically adjacent projections, if the spacing between their front ends is a common spacing L that connects the meridians (pots) present in each section band, then these two projections 5, 6 and the projections 5′, 6 The projections 5 ″ and 6 ″ are the upper and lower projections 5 and 6 of the present invention, respectively, and constitute the bifurcated operation part 3.

また、把持部2の前端に形成した二又状施術部3の機能表面は、図10に示すように、摩擦抵抗が大となるような粗造面30に形成している。 Further, as shown in FIG. 10, the functional surface of the bifurcated treatment portion 3 formed at the front end of the grip portion 2 is formed as a rough surface 30 having a large frictional resistance.

このような粗造面30を形成する方法としては、例えば、施術器本体1表面にサンドブラスト処理や粉粒体塗装処理を施したり、施術器本体1自体を3Dプリンタ積層成形又は粉粒体分散硬化成形することにより、施術器本体1表面に微細な凹凸面を形成することができる。 As a method of forming such a rough surface 30, for example, the surface of the practitioner body 1 is subjected to sandblasting or powder-particle coating treatment, or the practitioner body 1 itself is subjected to 3D printer lamination molding or powder-particle dispersion hardening. By molding, a fine concavo-convex surface can be formed on the surface of the treatment device body 1.

サンドブラスト処理を施すにあたっては、研磨用砥石やサンドペーパー、やすりで施術器本体1の表面をこすって微細な凹凸面、例えば鑢の目の粗さの凹凸面を形成する。 In performing the sand blasting process, a fine grinded surface, for example, a roughened surface having a gauze pattern is formed by rubbing the surface of the practitioner body 1 with a grindstone for polishing, sandpaper, or a file.

また、粉粒体塗装処理を施すにあたっては、施術器本体1表面にガラス粉末や砂粒などの微細な粉粒体を吹き付け接着することで微細な凹凸面を形成する。 In addition, when performing the powdery particle coating treatment, a fine uneven surface is formed by spraying and adhering fine powdery particles such as glass powder or sand particles onto the surface of the treatment device body 1.

また、施術器本体1を3Dプリンタ積層成形するにあたっては、例えば、把持部の軸線に直交する方向、具体的には上方突起5の前端面及び下方突起6の前端面によりなす仮想平面に直交する方向に樹脂等を積層していくことにより、上下方突起5、6の前端面に、上下方向に沿った微細な凹凸を形成する。 In addition, when laminating the practitioner body 1 with a 3D printer, for example, a direction orthogonal to the axis of the grip portion, specifically, a virtual plane formed by the front end faces of the upper protrusion 5 and the lower protrusion 6 is orthogonal. By laminating resin or the like in the vertical direction, fine irregularities along the vertical direction are formed on the front end faces of the upper and lower protrusions 5 and 6.

また、施術器本体1を粉粒体分散硬化成形するにあたっては、微細な粉粒体を分散させた未硬化状態の樹脂を施術器本体1の型枠に流し込み硬化させることにより、施術器本体1外表面に粉粒体を露出させて微細な凹凸面を形成する。なお、粉粒体塗装処理や粉粒体分散硬化成形に用いる粉粒体の粒径は、施術器本体1の表面に粗造面30が形成されれば特に限定されることはない。 Further, when the treatment device main body 1 is dispersion-hardened and molded, the uncured resin in which fine powder particles are dispersed is poured into the mold of the treatment device main body 1 and cured, whereby the treatment device main body 1 Fine particles are exposed on the outer surface to form a fine uneven surface. The particle size of the powder or granular material used for the powder or granular material coating treatment or the powder or granular material dispersion hardening is not particularly limited as long as the rough surface 30 is formed on the surface of the treatment device body 1.

また、上記方法により形成された二又状施術部3の機能表面である粗造面30は、表面粗さをRa 10μm〜35μm、より好ましくはRa 15μm〜30μmとすることにより、二又状施術部3の頭皮表面に対する摩擦抵抗力を確実に得ることができる。 Further, the rough surface 30, which is the functional surface of the bifurcated portion 3 formed by the above method, has a surface roughness of Ra 10 μm to 35 μm, more preferably Ra 15 μm to 30 μm. It is possible to reliably obtain the frictional resistance force of the portion 3 with respect to the scalp surface.

なお、二又状施術部3の機能表面は、摩擦抵抗が大となれば特に限定されることはなく、例えば、別体に構成した弾性素材(例えばビニル樹脂)や粗造面を有したキャップ状パーツを二又状施術部3の上下方突起5、6表面に外装することにより構成してもよい。すなわち、二又状施術部3の機能表面は、上下方突起5、6に着脱可能な摩擦抵抗を大としたキャップ状パーツにて構成してもよい。 The functional surface of the bifurcated treatment part 3 is not particularly limited as long as the frictional resistance is large. For example, an elastic material (for example, vinyl resin) formed separately or a cap having a rough surface is used. It is also possible to cover the surfaces of the upper and lower projections 5 and 6 of the bifurcated part 3 with the shaped parts. That is, the functional surface of the bifurcated treatment part 3 may be configured by a cap-shaped part having a large frictional resistance, which is attachable to and detachable from the upper and lower protrusions 5, 6.

ここで、二又状施術部3の機能表面とは、上方突起5の前端面と下方突起6の前端面とがそれぞれ頭皮表面と接触する面である。上方突起5や下方突起6のそれぞれの前端面の表面積は、5mm2〜30mm2、より好ましくは10mm2〜25mm2となるように形成している。Here, the functional surface of the bifurcated treatment part 3 is a surface where the front end surface of the upper protrusion 5 and the front end surface of the lower protrusion 6 contact the scalp surface, respectively. Each of the surface area of the front end face of the upper protrusion 5 and the lower projection 6, 5mm 2 ~30mm 2, more preferably is formed to have a 10 mm 2 25 mm 2.

このような構成により、二又状施術部3を頭皮表面にあてがった際には、上下方突起5、6の前端面が頭皮表面に面接触して摩擦抵抗面を増加させることを可能としつつ上下方突起5、6の前端による頭皮表面の損傷を防止し、施術器本体1の頭皮表面上での滑動を防止することができる。また、二又状施術部3が頭皮深部の皮下組織を広範囲に渡って該組織ごと頭皮表面を掴み施術器本体1を押し回し操作をした際に患部組織を確実に解すことができる。 With such a configuration, when the bifurcated operation part 3 is applied to the scalp surface, the front end surfaces of the upper and lower projections 5 and 6 are brought into surface contact with the scalp surface, thereby increasing the friction resistance surface. It is possible to prevent damage to the scalp surface due to the front ends of the upper and lower protrusions 5 and 6, and to prevent the surgical instrument main body 1 from sliding on the scalp surface. In addition, the bifurcated operation part 3 can grasp the scalp surface together with the subcutaneous tissue in the deep part of the scalp over a wide area, and when the operation instrument main body 1 is pushed and rotated, the affected tissue can be reliably released.

また、二又状施術部3の下方突起6は、図3に示すように上方突起5よりも先端方向に長く突出した形状に構成している。すなわち、頭蓋骨の表面に対して垂直方向に棒状の把持部2を押圧する際に、図7に示すように上下方突起5、6は前端までの長さが異なるために球状の頭蓋骨表面に両突起の同じ押圧応力で異なる位置の皮下細胞へ可及的に均等な刺激を付与することができるようにしている。 Further, the lower protrusion 6 of the bifurcated treatment part 3 is formed in a shape projecting longer in the distal direction than the upper protrusion 5 as shown in FIG. That is, when pressing the rod-shaped grip portion 2 in the direction perpendicular to the surface of the skull, the upper and lower projections 5 and 6 have different lengths to the front end as shown in FIG. With the same pressing stress of the protrusions, it is possible to apply a stimulation as even as possible to subcutaneous cells at different positions.

すなわち、図4〜図7に示すように、4区分帯に区分けした頭蓋骨表面はいずれも球状表面であるために、頭蓋骨の湾曲形状に伴う凹凸に適合すべく頭蓋骨表面に対して垂直に向かった把持部2の押圧方向に対して、各区分帯における一定間隔の二か所の患部は把持部2からみて下方(後方)が上方(前方)より距離が長くなる。 That is, as shown in FIGS. 4 to 7, since the skull surface divided into the four division bands is a spherical surface, the skull surface was oriented perpendicular to the skull surface in order to conform to the unevenness due to the curved shape of the skull. With respect to the pressing direction of the grip portion 2, the two affected areas at regular intervals in each section have a lower distance (rear) and a longer distance than the upper (front) when viewed from the grip portion 2.

そのために上下方突起5、6の長さを上記のように下方突起6を長くして区分帯の上下縁部の二か所の患部に均等に施術押圧力がかかるようにしている。 Therefore, the length of the upper and lower projections 5 and 6 is made longer as described above so that the surgical pressing force is evenly applied to the two affected areas at the upper and lower edges of the sectioned band.

特に、施術ポイントとなる経絡(つぼ)が密に分布する第1区分帯C1の表面湾曲状エリアにある後頭下筋群M1部分、及び第3区分帯C3の表面湾曲状エリアにある前頭筋M4部分、並びに第4区分帯C4の表面湾曲状エリアにある側頭筋M5部分を押圧する際には、第2区分帯C2の表面湾曲状エリアにある帽状腱膜M2部分に二又状施術部3の上方突起5の前端5aを挺子の支点として配置し、下方突起6の前端6aを作用点として後頭下筋群M1や前頭筋M4、側頭筋M5のそれぞれの患部に押圧力を作用させることで各区分帯の表面湾曲状エリアに分布する経絡を確実に押圧刺激することができる。 In particular, the suboccipital muscle group M1 portion in the surface curved area of the first section band C1 in which the meridians (pots) as the treatment points are densely distributed, and the frontal muscle M4 in the surface curved area of the third section band C3 When pressing the portion and the temporal muscle M5 portion in the surface curved area of the fourth section band C4, a bifurcated operation is performed on the cap aponeurosis M2 portion in the surface curved area of the second section band C2. The front end 5a of the upper protrusion 5 of the portion 3 is arranged as a fulcrum of the pallet, and the front end 6a of the lower protrusion 6 is used as an action point to apply a pressing force to the affected parts of the suboccipital muscle group M1, the frontal muscle M4, and the temporal muscle M5. By making it act, the meridians distributed in the curved surface area of each zone can be surely pressed and stimulated.

なお、上下方突起5、6の長さ(把持部軸方向において二股谷部を基端としてそれぞれの突起前端までの距離)関係は、上下方突起5、6によりなす二又の拡開角度(傾斜角度)により異なるが、一例として上方突起の長さ:下方突起の長さ=1:1〜1.5となるようにしている。 The relationship between the lengths of the upper and lower protrusions 5 and 6 (distance from the forked valley portion to the front end of each protrusion in the axial direction of the gripping portion) is defined by the bifurcation expansion angle of the upper and lower protrusions 5 and 6 ( It depends on the inclination angle), but as an example, the length of the upper protrusion: the length of the lower protrusion = 1:1 to 1.5.

また、本発明に係る皮下組織療法施術器Aは、図3に示すように、施術器本体1において二又状施術部3の上方突起5を把持部2の軸線E方向(図3中、破線で示す。)に沿って突出させると共に、下方突起6を把持部2の軸線E方向に対して傾斜角度約40°〜60°で傾斜して設けている。 Further, as shown in FIG. 3, the subcutaneous tissue therapy surgical instrument A according to the present invention has the upper projection 5 of the bifurcated surgical treatment section 3 in the surgical instrument main body 1 in the direction of the axis E of the grip portion 2 (broken line in FIG. 3 ). ), and the lower protrusion 6 is provided with an inclination angle of about 40° to 60° with respect to the direction of the axis E of the grip portion 2.

より具体的には、上方突起5は、施術器本体1において、軸線Eと所定間隔を隔て、且つ把持部2の軸線Cと平行に伸延する上方突起軸線E1の一端を上方突起5の前端5aとするように形成している。 More specifically, the upper protrusion 5 has a front end 5a of the upper protrusion 5 at one end of the upper protrusion axis E1 that extends at a predetermined distance from the axis E and extends parallel to the axis C of the grip portion 2 in the surgical instrument body 1. It is formed so that.

一方、下方突起6は、施術器本体1において、上方突起5の前端5aと先端方向を同一とし、上方突起軸線E1の略中央部E1aから傾斜角度約40°〜60°で傾斜して伸延する下方突起軸線E2の先端を下方突起6の前端6aとするように形成している。 On the other hand, in the treatment device main body 1, the lower protrusion 6 has the same tip end direction as the front end 5a of the upper protrusion 5, and extends at an inclination angle of about 40° to 60° from the substantially central portion E1a of the upper protrusion axis E1. The tip of the lower protrusion axis E2 is formed to be the front end 6a of the lower protrusion 6.

このような構成により、図4〜図7に示すように、頭蓋骨の表面に対して垂直方向に棒状の把持部2を押圧する際の押圧応力は、把持部2の軸線Eの中途部や上方突起軸線E1の略中央部E1aから上下方突起5、6のそれぞれ前端5a、6a向かって分解された略同一の押圧分力となる。 With such a configuration, as shown in FIGS. 4 to 7, the pressing stress when pressing the rod-shaped gripping portion 2 in the vertical direction with respect to the surface of the skull is equal to or higher than the middle portion of the axis E of the gripping portion 2 or above. The pressing force components are substantially the same that are decomposed from the substantially central portion E1a of the projection axis E1 toward the front ends 5a and 6a of the upper and lower projections 5 and 6, respectively.

すなわち、下方突起6は頭蓋骨の球状表面に応じて上方突起5の押圧応力の方向である上方突起軸線E1に対して略中央部E1aから約40°〜60°の傾斜をもって形成していることにより上方突起軸線E1の押圧応力は略中央部E1aから二手に分かれた略均等の押圧分力となる。 That is, the lower protrusion 6 is formed with an inclination of about 40° to 60° from the substantially central portion E1a with respect to the upper protrusion axis E1 which is the direction of the pressing stress of the upper protrusion 5 according to the spherical surface of the skull. The pressing stress of the upper protrusion axis E1 is a substantially uniform pressing force component divided into two parts from the substantially central portion E1a.

その結果、皮下組織療法施術器Aは、頭蓋骨の表面に対して垂直方向に棒状の把持部2を押圧する際には、上方突起5により押圧分力を頭蓋骨の表面に対して垂直方向に作用させることができる一方で、下方突起6により上方突起5の押圧分力と略同じ押圧分力を頭蓋骨の球状表面に対して傾斜方向に作用させることができ、区分帯の上下縁部の二か所の患部に対してより均等な施術押圧力がかかるようにしている。 As a result, when the subcutaneous tissue therapy apparatus A presses the rod-shaped gripping portion 2 in the direction perpendicular to the surface of the skull, the upward projection 5 exerts a pressing force component in the direction perpendicular to the surface of the skull. On the other hand, the lower protrusion 6 can apply a force component substantially the same as the force component of the upper protrusion 5 to the spherical surface of the skull in an inclined direction, so that the upper and lower edges of the sectioned band can be separated from each other. A more uniform pressure is applied to the affected area.

しかも、上下方突起5、6の前端間隔は4区分帯に共通して使用できるように、第1区分帯C1と第2区分帯C2との境界線(上項線D2)を跨いで長い方の下方突起6が第1区分帯C1の経絡に、短い方の上方突起5が第2区分帯C2の経絡にそれぞれ当接する間隔、第2区分帯のエリア内において各前後方向に散在する前後経絡に当接する間隔、第2区分帯と第3区分帯との境界線D3に沿って短い方の上方突起を変位させながら長い方の下方突起が第3区分帯の経絡に当接する間隔、第2区分帯と第4区分帯との境界線D4に沿って短い方の上方突起を変位させながら、長い方の下方突起が第4区分帯の経絡に当接する間隔等、各間隔を充足する前端間隔としている。 In addition, the front end intervals of the upper and lower projections 5 and 6 are long across the boundary line (upper line D2) between the first divisional band C1 and the second divisional band C2 so that they can be commonly used for the four divisional bands. The lower protrusions 6 contact the meridians of the first section C1 and the shorter upper protrusions 5 contact the meridians of the second section C2, respectively, and the front and rear meridians scattered in the front-rear direction in the area of the second section. , The interval at which the longer lower projection abuts the meridian of the third section band while displacing the shorter upper projection along the boundary line D3 between the second section band and the third section band, the second A front end interval that satisfies each interval, such as an interval at which the shorter lower protrusion abuts the meridian of the fourth segment while displacing the shorter upper protrusion along the boundary line D4 between the segment band and the fourth segment band. I am trying.

ここで、頭蓋骨及びこれを被覆する筋肉等の各部の名称は、図8〜図11に示すように、その場所が定められており、特に本明細書で使用する各部の名称の用語は以下のように定義される。
・頭蓋骨―顔構造を支持し脳を外部から保護し、22個の骨が縫合されて形造られている骨
・頭蓋冠―頭蓋骨のうち頭部の上半分の丸い部分の骨
・頭蓋底―頭蓋骨のうち頭部の下半分の骨
・頭項線―上下部にそれぞれ上項線と下項線とを形成する領域
・上項線―後頭骨の隆起部分に存在して頭蓋冠の後頭平面と頭蓋底の項平面との境を乳様突起に向かって走行する横線
・下項線―上項線の下方に存在して乳様突起に向かって走行する横線
・側頭骨―頭蓋骨の左右側部を形成する骨
・頭頂骨―頭蓋骨の一部で頭のてっぺん(頭頂)から頭の真後ろまでを形成する骨
・前頭骨―頭蓋骨のうち左右側頭骨の間に存在する前部を形成する骨
・後頭骨―頭蓋骨のうち左右側頭骨の間に存在する後部を形成する骨
・側頭筋―左右の側頭骨の略全域を被覆する筋肉
・帽状腱膜―各筋肉に向って頭蓋骨を被覆する肉薄の繊維状組織
・前頭筋―帽状腱膜が前方に延びて頭蓋骨前部を被覆する筋肉
・後頭筋―上項線の上方で後頭骨の一部を被覆する筋肉
・後頭下部筋―上項線の下方で頭蓋底に付着する複数の筋肉からなる筋群
Here, the names of the respective parts such as the skull and the muscles covering the skull are defined as shown in FIGS. 8 to 11, and the terms of the names of the respective parts used in the present specification are as follows. Is defined as
・Skull-The bone that supports the facial structure and protects the brain from the outside, and is formed by stitching 22 bones-Cranial crown-The bone of the round part of the upper half of the skull-The skull base- Bone of the lower half of the head of the skull-Cranial nodules-regions that form the upper and lower nodules in the upper and lower parts, respectively-Upper nodules-The occipital plane of the calvaria in the ridge of the occipital bone The horizontal line running toward the mastoid on the boundary between the and the plane of the base of the skull and the lower line-the horizontal line existing below the upper line and running toward the mastoid-temporal bone-the left and right sides of the skull Bone that forms part of the skull-parietal bone-bone that forms part of the skull from the top of the head (head of the head) to just behind the head-frontal bone-bone that forms the anterior part of the skull that exists between the left and right temporal bones -Occipital bone-The bone that forms the posterior part of the skull that exists between the left and right temporal bones-Temporal muscle-Muscle that covers almost the entire left and right temporal bone-Cap-shaped aponeurosis-Covers the skull toward each muscle Thin Fibrous Tissues ・Frontal Muscles-Muscles of Anterior Capsule Extending Anteriorly to Cover Anterior Skull ・Occipital Muscles-Muscles Covering Part of the Occipital Bone Above the Above Term Line-Lower Occipital Muscles- Muscle group consisting of multiple muscles attached to the skull base below the upper line

また経絡とは、点在するつぼとつぼを結びつらねるように網目状に走る線であり頭部全域に分布、特に前頭筋や後頭筋、側頭筋に密集している。 The meridian is a line that runs like a mesh so as not to connect the dots and the dots, and is distributed over the entire head, and is particularly concentrated in the frontal, occipital, and temporal muscles.

各区分帯に存在する経絡位置は、患者の頭部の大きさや形状により異なるが、一般的には施術者の手指を患者の頭部にあてがい手指幅で計測することで決定する。 The meridian position existing in each zone varies depending on the size and shape of the patient's head, but is generally determined by applying the operator's finger to the patient's head and measuring the finger width.

より具体的には、頭部に存在する基準位置から手指の幅、例えば、親指の幅(東洋医学上の一寸)、人差し指から薬指までの幅(東洋医学上の二寸)、人差し指から小指までの幅(東洋医学上の三寸)などを経絡までの距離の目安として各区分帯に分布する経絡位置を決定する。 More specifically, the width of the finger from the reference position present on the head, for example, the width of the thumb (one dimension in Oriental medicine), the width from the index finger to the ring finger (two dimensions in Oriental medicine), the index finger to the little finger The meridian positions distributed in each zone are determined by using the width (3 dimensions in Oriental medicine) as a measure of the distance to the meridian.

また、施術器本体1を形成する素材は特に限定されることはなく、例えば、金属製、樹脂製、木製を採用することができる。 Further, the material forming the main body 1 of the surgical instrument is not particularly limited, and for example, metal, resin, or wood can be adopted.

施術器本体1を形成する素材として樹脂を採用した場合には、硬質樹脂(例えばナイロン樹脂)にて施術器本体1を形成すると共にその表面を弾性を有する軟質樹脂(例えばビニル樹脂)にてコーティング形成することにより、施術時において頭皮表面を不用意に損傷することを可及的防止できる。 When a resin is used as a material for forming the treatment device main body 1, the treatment device main body 1 is formed of a hard resin (for example, nylon resin) and the surface thereof is coated with a soft resin having elasticity (for example, vinyl resin). By forming it, it is possible to prevent careless damage to the scalp surface during the treatment.

本実施形態では施術器本体1をナイロン樹脂で形成しており、施術器全体に重量感を持たせ、施術器本体1の自重により施術器の把持と共に施術操作が行い易くしている。 In the present embodiment, the treatment device main body 1 is formed of nylon resin so that the treatment device as a whole has a feeling of weight, and the weight of the treatment device main body 1 facilitates grasping the treatment device and performing a treatment operation.

また、施術器本体1において、把持部2の厚みを肉厚とし、二又状施術部3の厚みを基端から先端にかけて漸次肉薄とするように形成することで施術器全体に重厚感を保持させることができる。具体的には、把持部の厚みを約1.5cm〜3.5cmとし、二又状施術部3の厚みを基端から先端にかけて肉薄となるように約0.3cm〜3.5cmに形成している。 Further, in the main body 1 of the surgical instrument, the grip portion 2 is made thick, and the thickness of the bifurcated surgical portion 3 is gradually made thin from the base end to the distal end, thereby maintaining a heavy feeling in the whole surgical instrument. Can be made. Specifically, the thickness of the gripping portion is set to about 1.5 cm to 3.5 cm, and the thickness of the bifurcated operation portion 3 is formed to be about 0.3 cm to 3.5 cm so as to be thin from the base end to the tip.

また、上述した粗造面30を施術器本体1の外表面全域に形成することとすれば、把持部2やグリップ部4を施術者が手掌把持した際の摩擦抵抗を大とし、手掌の手汗や乾燥などで把持部2やグリップ部4から手掌が不用意に滑動してずれてしまうことを防止できる。 If the rough surface 30 described above is formed on the entire outer surface of the practitioner main body 1, the friction resistance when the practitioner grips the grip portion 2 or the grip portion 4 with the palm is large, and the palm of the palm is not touched. It is possible to prevent the palm from being inadvertently slipped and displaced from the grip portion 2 or the grip portion 4 due to sweat or dryness.

換言すれば、施術器本体1外表面全域には表面粗造の凹凸加工がなれていることから、皮下組織療法施術器Aは施術器本体1と接触する皮膚や頭皮をかかる粗造面の凹凸によりあたかも掴みこむような施術を可能としている。 In other words, since the roughening of the surface of the surgical instrument main body 1 is not performed on the entire outer surface of the surgical instrument main body 1, the subcutaneous tissue therapy surgical instrument A has unevenness on the rough surface on which the skin or scalp in contact with the surgical instrument main body 1 is applied. This makes it possible to perform an operation as if to grab.

また、図17に示すように、二又状施術部3とグリップ部4との間に形成された棒状或いは細幅状の把持部2の長さは施術者Rの手掌握部の幅員と略同等の長さL1としている。従って、手掌握部を丸めて把持部2を把持した際に手掌握部の幅員の両端面が二又状施術部3の基部3aとグリップ部4の基部4aに密着することになる。 Further, as shown in FIG. 17, the length of the rod-shaped or narrow-width grip portion 2 formed between the bifurcated operation portion 3 and the grip portion 4 is substantially equal to the width of the palm grip portion of the practitioner R. The length L1 is equivalent. Therefore, when the palm grip portion is rolled and the grip portion 2 is gripped, both end surfaces of the width of the palm grip portion come into close contact with the base portion 3a of the bifurcated operation portion 3 and the base portion 4a of the grip portion 4.

なお、図3(a)に示すように、二又状施術部3の下方突起6側の基部3aだけでなく上方突起5を外方へ向けて膨出形成することで上方突起5側にも基部3bを形成してもよく、この上下基部3a、3bにより棒状の把持部2を把持した場合の丸めた手掌握部の幅員及び手掌幅員は二又状施術部3の上下基部3a、3bとグリップ部4の上下基部4a、4bとに密着して各基部同士の間に収まり手掌握部での把持応力をより確実に得ることもできる。 As shown in FIG. 3(a), not only the base 3a on the lower projection 6 side of the bifurcated treatment portion 3 but also the upper projection 5 is formed to bulge outward so that the upper projection 5 side is also formed. The base portion 3b may be formed, and the width of the rolled palm grip portion and the palm width when the rod-shaped grip portion 2 is gripped by the upper and lower base portions 3a and 3b are the same as the upper and lower base portions 3a and 3b of the bifurcated treatment portion 3. It is possible to closely contact the upper and lower base portions 4a and 4b of the grip portion 4 and fit between the base portions to more reliably obtain the gripping stress at the palm grip portion.

また、他の変形例として図14(c)の断面図に示すように、棒状の把持部2は略平板状としその厚み(図中、A−A断面で示す。)は二又状施術部3とグリップ部4の肉厚部に比し膨大した肉厚部形状に形成してもよい。 As another modification, as shown in the cross-sectional view of FIG. 14C, the rod-shaped grip portion 2 has a substantially flat plate shape, and its thickness (indicated by AA cross section in the drawing) is a bifurcated treatment portion. 3 and the grip portion 4 may be formed to have an enormous thickness portion shape as compared with the thick portion portions.

更に、図14(a)及び図14(b)に示すように、二又状施術部3は前端に向かっては漸次先鋭状とすると共に、最前端部分は平面視アール形状、側面視前端漸次肉薄状に形成することとすれば、患部の施術有効点に適確に定置することができると共に、患部に不要な過度の刺激を付与することなく患部皮下組織に有効に二又状施術部3を機能させることができる。 Further, as shown in FIGS. 14(a) and 14(b), the bifurcated treatment portion 3 is gradually sharpened toward the front end, and the frontmost end portion is rounded in plan view, and the front end is gradually increased in side view. If it is formed thinly, it can be accurately placed at the effective point of the treatment of the affected area, and the bifurcated treatment area 3 can be effectively applied to the subcutaneous tissue of the affected area without giving unnecessary excessive stimulation to the affected area. Can function.

また、図3に示すように、グリップ部4は平面視略T字形状とし、施術時にはグリップ部4のT字横辺部が施術者手掌に当接し、T字縦辺部が施術者Rの手指間で挟持されるように構成している。二又状施術部3を患部に押圧する際には、図18及び図19に示すように、施術者手掌と施術者Rの手指間でグリップ部4を把持して支持する。 Further, as shown in FIG. 3, the grip portion 4 has a substantially T-shape in a plan view, the T-shaped lateral side portion of the grip portion 4 abuts the palm of the practitioner during the treatment, and the T-shaped vertical side portion of the practitioner R does. It is configured to be held between fingers. When the bifurcated operation part 3 is pressed against the affected part, as shown in FIGS. 18 and 19, the grip part 4 is grasped and supported between the palm of the operator and the finger of the operator R.

また、グリップ部4のT字横辺部は湾曲状として首基部の皮下組織(経絡)を押圧刺激可能に構成することとすれば、把持部2を前後反転して把持することによりグリップ部4を把持部2の先端方向に位置すれば後頭部とは異なる首筋近傍の患部皮下組織の施術に利用することができ施術器本体1の有効利用の範囲を拡大することができる。 Further, if the T-shaped lateral side portion of the grip portion 4 is formed in a curved shape so that the subcutaneous tissue (meridian) of the neck base portion can be pressed and stimulated, the grip portion 4 can be gripped by reversing and gripping the grip portion 2. If is located in the distal direction of the grip portion 2, it can be used for the treatment of the affected site subcutaneous tissue in the vicinity of the neck muscle, which is different from the occipital region, and the range of effective use of the treatment instrument body 1 can be expanded.

また、他の実施例として図15に示すように、二又状施術部3の上下方突起5、6は扁平状とし、扁平先端縁は肉厚中央部を凹状に形成することにより扁平両側面に左右両側突縁部5b、5c、6b、6cを形成してもよい。 As another embodiment, as shown in FIG. 15, the upper and lower projections 5 and 6 of the bifurcated treatment part 3 are flat, and the flat tip edge is formed by forming a concave shape in the central portion of the flat surface. Left and right side projecting edge portions 5b, 5c, 6b, 6c may be formed.

さらに、他の実施例として図16に示すように、二又状施術部3の上下方突起5、6において、上方突起5は、扁平状の肉厚より左右外方に突出した二又状に拡開して2つ形成してもよい。すなわち皮下組織療法施術器Aを同2つの上方突起50、51と1つの下方突起6とにより三脚状としてもよい。 Further, as another embodiment, as shown in FIG. 16, in the upper and lower projections 5 and 6 of the bifurcated treatment portion 3, the upper projection 5 is formed into a bifurcated shape that projects outward in the left and right directions from a flat thickness. You may spread and form two. That is, the subcutaneous tissue therapy apparatus A may be formed into a tripod shape by the same two upper protrusions 50 and 51 and one lower protrusion 6.

2つの左右上方突起50、61は、施術器本体1の厚み方向で下方突起6の前端6a位置を中心位置とし、それぞれの前端5b、5cを中心位置から左右側に配置するよう施術器本体1の扁平肉厚より厚み方向左右外方へ二又状に突出形成している。 The two left and right upper protrusions 50, 61 are centered on the front end 6a position of the lower protrusion 6 in the thickness direction of the surgical instrument main body 1, and the front end 5b, 5c is arranged on the left and right sides from the central position. Is formed in a bifurcated shape outwardly in the thickness direction from the flat wall thickness.

〔2.皮下組織療法施術器を使用した臨床実施態様〕
次に本発明の皮下組織療法施術器Aを患者の頭部に応用する場合の臨床実施態様について具体的に説明する。
[2. Clinical Embodiment Using Subcutaneous Tissue Therapy Device
Next, a clinical mode in which the subcutaneous tissue therapy apparatus A of the present invention is applied to the head of a patient will be specifically described.

患者は、図4〜図6、及び図22に示すように、各区分帯の施術に合わせて体勢で寝台に寝る。すなわち、第1区分帯C1及び第2区分帯C2の施療にあたっては図4に示したよう後頭部を上に向けた俯せ寝状態、第3区分帯C3の施療にあたっては図5に示すように前頭部を上に向けた仰向寝状態、第4区分帯C4の施療にあたっては図6に示すように側頭部を上に向けた横向寝状態とする。 As shown in FIG. 4 to FIG. 6 and FIG. 22, the patient sleeps on the bed according to the treatment of each segment. That is, when the first divisional band C1 and the second divisional band C2 are treated, the patient lies in a lying state with the occipital region facing upward as shown in FIG. 4, and when the third divisional band C3 is treated, the frontal area is shown as shown in FIG. The sleeping position is with the part facing upward, and the treatment of the fourth section band C4 is with the side lying with the temporal part facing upward, as shown in FIG.

このような状態において4区分帯を本発明の皮下組織療法施術器Aにより図7の矢印方向、すなわち、頭蓋骨表面に対して垂直方向に押圧刺激することにより施術がなされる。 In such a state, the operation is performed by pressing and stimulating the four-section zone with the subcutaneous tissue therapy apparatus A of the present invention in the direction of the arrow in FIG. 7, that is, in the direction perpendicular to the skull surface.

まず、図17に示すように施術器本体1の把持部2を手掌握部で把持し二又状施術部3を頭部の所定位置に当てる。特に二又状施術部3の上方突起5は頭頂部に近い上方に位置し、下方突起6は頸部等に近い下方に位置する。 First, as shown in FIG. 17, the grasping portion 2 of the treatment instrument body 1 is grasped by the palm grasping portion, and the bifurcated treatment portion 3 is applied to a predetermined position on the head. In particular, the upper protrusion 5 of the bifurcated surgical portion 3 is located above the crown and the lower protrusion 6 is located below the neck and the like.

第1区分帯では、左右側頭骨B4、B4’間の頭蓋底B1を層状に被覆する後頭下筋群M1部分で、且つ頭項線中の下項線D1と頭項線中の上項線D2との間に位置する表面湾曲状エリアの押圧を行う。すなわち図4及び図22に示すように、第1区分帯C1における療法では、第1区分帯C1と第2区分帯C2との境界線を跨いで長い方の下方突起6が第1区分帯C1の経絡に、また短い方の上方突起5が第2区分帯C2の経絡にそれぞれ当接する間隔を二又状施術部3の前端間隔(先端間隔)として刺激療法を行う。 In the first section zone, the suboccipital muscle group M1 portion that covers the skull base B1 between the left and right temporal bones B4 and B4′ in layers, and the lower term line D1 in the head term line and the upper term line in the head term line. The curved surface area located between D2 and D2 is pressed. That is, as shown in FIG. 4 and FIG. 22, in the therapy in the first divisional band C1, the longer downward projection 6 extends across the boundary line between the first divisional band C1 and the second divisional band C2. Stimulation therapy is performed by setting the interval at which the short upper projection 5 abuts on the meridian of the second section zone C2 as the front end interval (tip interval) of the bifurcated operation part 3.

より具体的には、第1区分帯C1と第2区分帯C2との境界線である上項線D2を跨ぐように、二又状施術部3の上方突起5の前端5aを第2区分帯の帽状腱膜M2後部或いは後頭筋M3に分布する経絡に当接すると共に下方突起6の前端6aを第1区分帯C1の後頭下筋群M1に分布する経絡に当接して、各エリアに分布する経絡を押圧施術する。 More specifically, the front end 5a of the upper protrusion 5 of the bifurcated treatment part 3 is attached to the second section strip so as to cross the upper line D2 that is the boundary line between the first section strip C1 and the second section strip C2. Of the cap-shaped aponeurosis M2 and the meridian distributed in the occipital muscle M3, and the front end 6a of the inferior projection 6 contacts the meridian distributed in the suboccipital muscle group M1 of the first section C1 and distributed in each area. Press the meridian to apply.

施術箇所の位置決めに際しては、図4に示すように、まず二又状施術部3の上方突起5の前端5aを第2区分帯の帽状腱膜M2後部或いは後頭筋M3の経絡に押し当てた状態で皮下組織療法施術器Aを上方(図4中、破線矢印方向)に移動し、帽状腱膜M2或いは後頭筋M3を介して後頭下筋群M1を緊張させる。 When positioning the treatment site, as shown in FIG. 4, first, the front end 5a of the upper projection 5 of the bifurcated treatment part 3 was pressed against the posterior part of the cap-shaped aponeurosis M2 of the second segment or the meridian of the occipital muscle M3. In this state, the subcutaneous tissue therapy apparatus A is moved upward (in the direction of the broken line arrow in FIG. 4), and the suboccipital muscle group M1 is tense via the cap-like aponeurosis M2 or occipital muscle M3.

次いで、第1区分帯C1における緊張状態の後頭下筋群M1に下方突起6を押し当てることで、各区分帯に分布する経絡同士を二又状施術部3で把握するようにして確実に捉える。 Then, the downward projection 6 is pressed against the suboccipital muscle group M1 in a tensioned state in the first section C1 so that the bifurcation portion 3 grasps the meridians distributed in each section so that the meridians distributed in each section are reliably grasped. ..

しかもこの状態において、把持部2の押圧応力の推進方向はうつ伏せの患者の頭部頭蓋骨に対して垂直方向に向くように使用する。 Moreover, in this state, the driving force of the pressing stress of the grip portion 2 is used so as to be perpendicular to the head skull of the prone patient.

特に第1区分帯における療法では、第1区分帯C1の後頭下筋群M1の表面湾曲状エリアと、第2区分帯の帽状腱膜M2後部或いは後頭筋M3の表面湾曲状エリアに沿って二又状施術部3を左右方向に少しずつ横移動しながら後頭部を横断していく。 Particularly in the therapy in the first zone, along the curved surface area of the suboccipital muscle group M1 of the first sectional zone C1 and the posterior part of the cap-like aponeurosis M2 of the second sectional zone or the curved area of the occipital muscle M3. The bifurcated operation part 3 is laterally moved little by little in the lateral direction to cross the occipital region.

横移動に際しては、図20に示すように、第1区分帯C1と第2区分帯C2とでそれぞれ左右7つの経絡ポイント(経絡上のつぼ)、左右合計14経絡ポイントの位置の皮下脂肪組織を押圧して刺激施術を行う。 At the time of lateral movement, as shown in FIG. 20, the left and right seven meridian points (vessels on the meridian), the total of 14 left and right meridian points, respectively, of the first section band C1 and the second section band C2, are placed on the subcutaneous fat tissue. Press to perform stimulation.

更には、第1区分帯C1と第2区分帯C2との各ポイントにおいて二又状施術部3の上方突起5を第2区分帯C2の帽状腱膜M2後部或いは後頭筋M3、下方突起6を第1区分帯C1の後頭下筋群M1とに交互に又は同時に押圧応力をかける。 Furthermore, at each point of the first section C1 and the second section C2, the upper projection 5 of the bifurcated surgical portion 3 is connected to the posterior part of the cap-like aponeurosis M2 of the second section C2 or the occipital muscle M3, and the lower projection 6 is formed. Are alternately or simultaneously applied to the suboccipital muscle group M1 of the first section zone C1.

すなわち、まず第2区分帯C2の帽状腱膜M2後部或いは後頭筋M3を二又状施術部3の上方突起5により、また、第1区分帯C1の後頭下筋群M1を下方突起6によりそれぞれ押圧刺激するに際し、図21に示すように、把持部2を挺子の力点、短めの上方突起5の前端5aを挺子の支点、長めの下方突起6の前端6aを挺子の作用点として患部を押圧刺激する。 That is, first, the posterior portion of the cap-like aponeurosis M2 or the occipital muscle M3 of the second segmental zone C2 is formed by the superior projection 5 of the bifurcated surgical treatment part 3, and the suboccipital muscle group M1 of the first segmented zone C1 is formed by the downward protrusion 6. In each of the pressing stimuli, as shown in FIG. 21, the grip portion 2 is the force point of the boom, the front end 5a of the shorter upper projection 5 is the fulcrum of the boom, and the front end 6a of the longer lower projection 6 is the action point of the boom. As a result, the affected area is pressed and stimulated.

次いで、その反対に長手状の下方突起6の前端6aを支点とし上方突起5の前端5aを作用点として押圧刺激することにより上下各突起5、6を交互に押圧支点と押圧作用点となるように押圧刺激点を変更しながら施術を行う。 Then, on the contrary, by stimulating the front end 6a of the elongated lower protrusion 6 as a fulcrum and the front end 5a of the upper protrusion 5 as an action point, the upper and lower protrusions 5 and 6 alternately serve as a fulcrum and a pressing action point. The operation is performed while changing the pressure stimulation point.

すなわち、第2区分帯C2の帽状腱膜M2後部或いは後頭筋M3と第1区分帯C1の後頭下筋群M1との各ポイントにおいて、上方突起5による押圧力は頭蓋冠後半部B2外側面上の帽状腱膜M2或いは後頭筋M3に、下方突起6による押圧力は頭蓋底B1外底面上の後頭下筋群M1に対してそれぞれ垂直方向に作用する。 That is, at each point of the posterior portion of the cap-like aponeurosis M2 or the occipital muscle M3 of the second segmental zone C2 and the suboccipital muscle group M1 of the first segmental zone C1, the pressing force by the upper projection 5 is the lateral surface of the second half of the calvaria B2. The pressing force of the downward projection 6 acts on the upper cap type aponeurosis M2 or the occipital muscle M3 in the vertical direction to the suboccipital muscle group M1 on the outer bottom surface of the skull base B1.

その結果、第2区分帯C2の帽状腱膜M2後部或いは後頭筋M3に分布する経絡は上方突起5により頭蓋冠側面に垂直に、第1区分帯C1の後頭下筋群M1に分布する経絡は下方突起6により頭蓋底B1外底面を押し上げるように、それぞれ頭部横断方向に沿って順次押圧刺激されることとなる。 As a result, the meridians distributed in the posterior portion of the cap-like aponeurosis M2 or the occipital muscle M3 of the second segment C2 are distributed perpendicularly to the side of the calvaria by the superior projection 5 and in the suboccipital muscle group M1 of the first segment C1. Will be sequentially pressed and stimulated along the transverse direction of the head so that the lower projection 6 pushes up the outer bottom surface of the skull base B1.

このように、上下方突起5、6の長さを異にし、施術時に各上下方突起5、6を交互に支点、作用点が変位するようにしたことにより、略球面の頭蓋骨表面に対して少ない交互の押圧動作で支点と作用点の入れ替え動作が可能となる。 In this way, by making the lengths of the upper and lower projections 5 and 6 different so that the fulcrum and the action point of the upper and lower projections 5 and 6 are alternately displaced at the time of the operation, the surface of the skull is substantially spherical. The fulcrum and the action point can be exchanged with a small number of alternate pressing operations.

特に、上方突起5を支点とし下方突起6を作用点として二又状施術部3を患部に作用させることから、その押圧力を複数の筋肉が層状に重なり合う後頭下筋群M1の深部、すなわち下層位置にある筋肉まで作用させることができる。 In particular, since the bifurcated portion 3 is applied to the affected area with the upper protrusion 5 as the fulcrum and the lower protrusion 6 as the point of action, the pressing force is applied to the deep part of the suboccipital muscle group M1 where a plurality of muscles are layered, that is, the lower layer. It can act on the muscles in position.

次に第2区分帯C2では、左右側頭骨B4、B4’間の頭蓋冠後半部B2を被覆する後頭筋M3部分と帽状腱膜M2部分で、且つ頭項線中の上項線D2と前頭筋M4との間におけるエリアと、左右側頭骨B4、B4’のエリアとの各エリアで区画された表面湾曲状エリアの押圧を行う。具体的には、図4に示すように第2区分帯C2における療法では、第2区分帯C2のエリア内において各前後方向に散在する前後経絡に当接する間隔を二又状施術部3の前端間隔として刺激施術を行う。 Next, in the second section zone C2, the occipital muscle M3 portion covering the posterior half of the calvaria B2 between the left and right temporal bones B4, B4′ and the cap aponeurosis M2 portion, and the upper term line D2 in the head term line. The surface curved area divided by the areas between the frontal muscle M4 and the left and right temporal bones B4 and B4′ is pressed. Specifically, as shown in FIG. 4, in the therapy in the second section C2, the front end of the bifurcated surgical treatment section 3 has an interval of abutting the front and back meridians scattered in the respective front and rear directions in the area of the second section C2. Stimulation is performed as an interval.

この状態における把持部2の押圧応力の軸線方向はうつ伏せの患者の頭部頭蓋骨の第2区分帯に対する垂直方向、言い換えれば、起立状態の人体頭部の第2区分帯略水平横断方向に向くように使用する。 The axial direction of the pressing stress of the gripping portion 2 in this state is to be perpendicular to the second section band of the head skull of the prone patient, in other words, to be substantially horizontal to the second section band of the standing human head. To use.

すなわち、第2区分帯C2のエリア内において各前後方向に散在する前後経絡の間隔に合わせて、頭蓋骨の前後方向で二又状施術部3の帽状腱膜M2頭頂部側に上方突起5を、帽状腱膜M2前頭部側、または帽状腱膜M2後頭部側、或いは後頭筋M3に下方突起6をそれぞれあてがい施術する。 That is, in the area of the second divisional band C2, the upper projection 5 is provided on the cap side aponeurosis M2 parietal side of the bifurcated operation part 3 in the anterior-posterior direction of the skull in accordance with the intervals of the antero-posterior meridians scattered in the antero-posterior direction. The lower projection 6 is applied to the frontal side of the cap-shaped aponeurosis M2, the occipital region of the cap-shaped aponeurosis M2, or the occipital muscle M3.

施術箇所の位置決めに際しては、図4に示すように、まず二又状施術部3の上方突起5の前端5aを頭頂部側に位置する帽状腱膜M2の経絡に押し当てた状態で皮下組織療法施術器Aを頭頂部側(図4中、第2区分帯における破線矢印方向)に移動し、上方突起5の帽状腱膜M2或いは後頭筋M3を緊張させる。 In positioning the treatment site, as shown in FIG. 4, first, the front end 5a of the upper protrusion 5 of the bifurcated treatment part 3 is pressed against the meridian of the cap-shaped aponeurosis M2 located on the parietal side, and subcutaneous tissue is placed. The therapeutic treatment device A is moved to the parietal region side (in the direction of the broken line arrow in the second section band in FIG. 4) to tense the cap-like aponeurosis M2 or occipital muscle M3 of the superior process 5.

次いで、第2区分帯における緊張状態の帽状腱膜M2或いは後頭筋M3に下方突起6を押し当てることで、各区分帯に分布する経絡同士を二又状施術部3の上下方突起5、6で把握するように確実に捉える。 Then, the downward projection 6 is pressed against the cap-like aponeurosis M2 or the occipital muscle M3 in a tensioned state in the second section band so that the meridians distributed in each section band are connected to the upper and lower projections 5 of the bifurcated operation part 3, Be sure to capture it as you grasp in 6.

しかも、第2区分帯C2における療法では第2区分帯C2のエリア内において各前後方向に散在する前後経絡を横断するように二又状施術部3を左右方向に少しづつ横移動しながら第2区分帯C2の表面湾曲状エリアを横断施術していく。 In addition, in the therapy in the second section band C2, the bifurcated operation part 3 is laterally moved little by little in the area of the second section band C2 so as to traverse the anterior-posterior meridians scattered in the respective anteroposterior directions. The surface curved area of the divisional band C2 is traversed.

但し、必要によってはかかる横断施術ではなく所定のポイントのみを選択して施術することも可能である。所定の施術ポイントは第2区分帯C2における経絡(つぼ)に沿って有効な皮下組織施術に適合するポイントとし、この位置は施術者の知見と経験により選択特定されるものである。 However, if necessary, it is possible to select only a predetermined point and perform the operation instead of the crossing operation. The predetermined operation point is a point suitable for effective subcutaneous tissue operation along the meridian (pot) in the second section zone C2, and this position is selected and specified by the operator's knowledge and experience.

更には、第2区分帯における療法では、表面湾曲状エリアの各ポイントにおいて二又状施術部3の上方突起5を頭頂部側の帽状腱膜M2に分布する経絡に、下方突起6を後頭部側又は前頭部側の帽状腱膜M2、或いは後頭筋M3に分布する経絡とに、交互に又は同時に押圧応力をかける。 Further, in the therapy in the second section zone, at each point of the curved surface area, the upper protrusion 5 of the bifurcated surgical portion 3 is used as the meridian distributed in the cap-like aponeurosis M2 on the parietal side, and the lower protrusion 6 is used as the occipital region. Pressing stress is alternately or simultaneously applied to the cap-like aponeurosis M2 on the side or the frontal region or the meridians distributed in the occipital muscle M3.

特に、頭頂部側の帽状腱膜M2に分布する経絡を二又状施術部3の上方突起5により、後頭部側又は前頭部側の帽状腱膜M2、或いは後頭筋M3に分布する経絡を下方突起6により押圧刺激するに際しては、第1区分帯で説明したのと同様、図21に示すように、まず短手状の上方突起5の前端5aを支点とし長手状の下方突起6の前端6bを作用点として押圧刺激し、次いでその反対に長めの下方突起6を支点とし上方突起5の前端5aを作用点として押圧刺激することにより上下各突起5、6を交互に押圧支点と押圧作用点となるように押圧刺激点を変更しながら頭部を横断するように施術を行う。 In particular, the meridians distributed in the cap-shaped aponeurosis M2 on the parietal side are distributed to the cap-shaped aponeurosis M2 on the occipital or frontal side or the occipital muscle M3 by the upper projection 5 of the bifurcated operation part 3. When the lower projection 6 is pressed and stimulated, as shown in FIG. 21, first, as shown in FIG. 21, the front end 5a of the short-shaped upper projection 5 is used as a fulcrum and the lower projection 6 is elongated. By pressing and stimulating the front end 6b as the point of action, and then by stimulating the front end 5a of the upper projection 5 as the point of action, the upper and lower protrusions 5 and 6 are alternately pressed and pressed. The operation is performed so as to cross the head while changing the pressure stimulus point so as to be the point of action.

次に第3区分帯C3では、左右側頭骨間の頭蓋冠前半部B3を被覆する前頭筋M4部分で区画された表面湾曲状エリアの押圧を行う。すなわち、第2区分帯C2と第3区分帯C3との境界線D4に沿って短い方の上方突起を変位させながら長い方の下方突起が第3区分帯C3の経絡に当接する間隔を二又状施術部3の前端間隔として押圧刺激施術を行う。 Next, in the third division zone C3, the surface curved area defined by the frontal muscle M4 portion covering the front half of the calvaria B3 between the left and right temporal bones is pressed. That is, while the shorter upper protrusion is displaced along the boundary line D4 between the second divisional band C2 and the third divisional band C3, the longer lower protrusion abuts on the meridian of the third divisional band C3. The pressure stimulus is performed as the front end interval of the strip-shaped treatment section 3.

より具体的には、図5に示すように二又状施術部3の上方突起前端5aを第2区分帯C2と第3区分帯C3との境界線D3(帽状腱膜M2と前頭筋M4との境界)に分布する経絡に当接すると共に下作方突起前端6aを第3区分帯C3の前頭筋M4に分布する経絡に当接して経絡を捉える。 More specifically, as shown in FIG. 5, the upper protrusion front end 5a of the bifurcated operation part 3 is defined by a boundary line D3 between the second divisional zone C2 and the third divisional zone C3 (hatched aponeurosis M2 and frontal muscle M4). The lower meridian projection front end 6a is brought into contact with the meridian distributed in the frontal muscle M4 of the third section zone C3 to capture the meridian.

施術箇所の位置決めに際しては、第1、2区分帯と同様に、図5に示すように、まず二又状施術部3の上方突起前端5aを第2区分帯と第3区分帯との境界線D3に押し当てた状態で皮下組織療法施術器Aを頭頂部側に上方移動し、第3区分帯の前頭筋M4を頭頂部側に引っ張り上げるように緊張させる。 When positioning the treatment site, as shown in FIG. 5, the upper projection front end 5a of the bifurcated treatment portion 3 is first divided into the boundary line between the second division band and the third division band, as in the first and second division bands. The subcutaneous tissue therapy surgical instrument A is moved upward to the parietal region side while being pressed against D3, and the frontal muscle M4 of the third division zone is tensioned so as to be pulled up to the parietal region side.

次いで、第3区分帯C3における緊張状態の前頭筋M4に下方突起6を押し当てることで、第2区分帯C2と第3区分帯C3との境界線D3と第3区分帯C3に分布する経絡同士を二又状施術部3で把握するようにして確実に捉える。 Next, by pressing the downward projection 6 against the frontal muscle M4 in the tensioned state in the third section band C3, the meridian distributed in the boundary line D3 between the second section band C2 and the third section band C3 and the third section band C3. The two-pronged operation part 3 is used to grasp each other and to surely grasp each other.

この状態における把持部2の押圧応力の軸線方向は仰向けの患者の頭部頭蓋骨の第3区分帯C3に対する垂直方向、言い換えれば、起立状態の人体頭部の第3区分帯水平横断方向に向くように使用する。すなわち、第2区分帯C2と第3区分帯C3との境界線D3と第3区分帯C3の前頭筋M4との経絡同士の間を跨ぐように二又状施術部3をあてがって施術する。 The axial direction of the pressing stress of the grip portion 2 in this state is directed in the vertical direction with respect to the third section band C3 of the head skull of the patient lying on his back, in other words, in the horizontal transverse direction of the third section band of the standing human head. To use. That is, the bifurcated operation part 3 is applied so as to straddle between the meridians of the boundary line D3 between the second section band C2 and the third section band C3 and the frontal muscle M4 of the third section band C3.

しかも、特に第3区分帯における療法では第2区分帯C2と第3区分帯C3との境界線D3に沿って短い方の上方突起5を変位させながら長い方の下方突起6が第3区分帯C3の経絡に当接する間隔に沿って二又状施術部3を左右方向に少しづつ横移動しながら頭頂部を横断していく。 Moreover, particularly in the therapy in the third section band, the longer lower projection 6 is displaced while the shorter upper projection 5 is displaced along the boundary line D3 between the second section band C2 and the third section band C3. The bifurcated operation part 3 is moved laterally little by little along the interval of contact with the meridian of C3 to cross the parietal region.

但し、必要によってはかかる横断施術ではなく所定のポイントのみを選択して施術することも可能である。所定の施術ポイントは第3区分帯における経絡に沿って有効な皮下組織施術に適合するポイントとし、この位置は施術者Rの知見と経験により選択特定されるものである。 However, if necessary, it is possible to select only a predetermined point and perform the operation instead of the crossing operation. The predetermined operation point is a point suitable for effective subcutaneous tissue operation along the meridian in the third section zone, and this position is selected and specified by the operator R's knowledge and experience.

更には、第3区分帯における療法では第2区分帯C2と第3区分帯C3との各ポイントにおいては、図21に示すように二又状施術部3の上方突起5と下方突起6をそれぞれとに交互に又は同時に押圧応力をかける。 Further, in the therapy in the third section band, at each point of the second section band C2 and the third section band C3, as shown in FIG. 21, the upper protrusion 5 and the lower protrusion 6 of the bifurcated operation part 3 are respectively formed. Pressing stress is applied to and alternately or simultaneously.

特に、第2区分帯C2と第3区分帯C3との境界線D3を二又状施術部3の上方突起5により、第3区分帯の前頭筋M4を下方突起6により押圧刺激するに際しては第1、2区分帯で説明したと同様にまず短手状の上方突起前端5aを支点とし下方突起前端6aを作用点として押圧刺激し、次いでその反対に長めの下方突起前端6aを支点として上方突起5を作用点として押圧刺激することにより上下各突起5、6を交互に押圧支点と押圧作用点となるように押圧刺激点を変更しながら施術を行う。 In particular, when the boundary line D3 between the second section band C2 and the third section band C3 is pressed by the upper projection 5 of the bifurcated operation part 3 and the frontal muscle M4 of the third section band is pressed by the lower projection 6, Similarly to the case of the 1st and 2nd division zones, first, a short-shaped upper protrusion front end 5a is used as a fulcrum and a lower protrusion front end 6a is used as a point of action for stimulating pressure, and conversely, a longer lower protrusion front end 6a is used as a fulcrum. By performing pressure stimulation with 5 as an action point, the upper and lower protrusions 5 and 6 are alternately operated while changing the pressure stimulation point so that they serve as a pressure fulcrum and a pressure action point.

次に第4区分帯C4では、図6に示すように、左右側頭骨B4、B4’を被覆する側頭筋M5、M5’部分で区画された表面湾曲状エリアの押圧を行う。すなわち、第4区分帯C4における療法では、第2区分帯C2と第4区分帯C4との境界線D4に沿って短い方の上方突起5を変位させながら長い方の下方突起6が第4区分帯C4の経絡に当接する間隔を二又状施術部3の前端間隔として左右それぞれに刺激療法を行う。 Next, in the fourth section zone C4, as shown in FIG. 6, the surface curved area defined by the temporal muscles M5 and M5' covering the left and right temporal bones B4 and B4' is pressed. That is, in the therapy in the fourth section zone C4, the shorter upper projection 5 is displaced along the boundary section D4 between the second section zone C2 and the fourth section zone C4 while the longer lower projection 6 is displaced into the fourth section. Stimulation therapy is performed on each of the left and right sides by setting the interval at which the band C4 abuts the meridian as the front end interval of the bifurcated operation part 3.

より具体的には、二又状施術部3の上方突起前端5aを第2区分帯C2と第4区分帯C4との境界線D4(帽状腱膜M2と側頭筋M5との境界)に分布する経絡に当接すると共に下方突起前端6aを第4区分帯C4の前頭筋M4に分布する経絡に当接して、各エリアに分布する経絡を捉える。 More specifically, the anterior projection front end 5a of the bifurcated treatment part 3 is located on the boundary line D4 between the second divisional zone C2 and the fourth divisional zone C4 (the boundary between the cap-like aponeurosis M2 and the temporalis muscle M5). The meridians distributed in each area are captured by contacting the distributed meridians and the front end 6a of the lower protrusion by contacting the meridians distributed in the frontal muscle M4 of the fourth section band C4.

施術箇所の位置決めに際しては、第1〜3区分帯と同様に、図6に示すように、まず二又状施術部3の上方突起前端5aを第2区分帯C2と第4区分帯C4との境界線D4に押し当てた状態で皮下組織療法施術器Aを頭頂部側に上方移動し、第4区分帯C4の側頭筋M5を頭頂部側に引っ張り上げるように緊張させる。 At the time of positioning the treatment site, as shown in FIG. 6, first, the upper protrusion front end 5a of the bifurcated treatment part 3 is divided into the second division band C2 and the fourth division band C4, as in the first to third division bands. While being pressed against the boundary line D4, the subcutaneous tissue therapy apparatus A is moved upward to the parietal region side, and the temporal muscle M5 of the fourth section zone C4 is tensioned so as to be pulled up to the parietal region side.

次いで、第4区分帯C4における緊張状態の側頭筋M5に下方突起6を押し当てることで、第2区分帯C2と第4区分帯C4との境界線D4と第4区分帯C4に分布する経絡同士を二又状施術部3で把握するようにして確実に捉える。 Then, by pressing the downward projection 6 against the temporal muscle M5 in the tensioned state in the fourth section band C4, it is distributed on the boundary line D4 between the second section band C2 and the fourth section band C4 and the fourth section band C4. The meridians are surely grasped by grasping them with the bifurcated treatment part 3.

この状態における把持部2の押圧応力の軸線方向は頭部を横向きにしたうつ伏せの患者の頭部頭蓋骨の第4区分帯C4に対する垂直方向、言い換えれば、起立状態の人体頭部の第4区分帯水平横断方向に向くように使用する。すなわち、第2区分帯C2と第4区分帯C4との境界線D4と第4区分帯C4の側頭筋M5との経絡同士の間を跨ぐように二又状施術部3をあてがって施術する。 The axial direction of the pressing stress of the grip portion 2 in this state is the vertical direction with respect to the fourth division band C4 of the head skull of the prone patient with the head lying sideways, in other words, the fourth division band of the standing human head. Use it so that it faces horizontally. That is, the bifurcated operation part 3 is applied so as to straddle between the meridians of the boundary line D4 between the second section band C2 and the fourth section band C4 and the temporal muscle M5 of the fourth section band C4. ..

特に第4区分帯C4における療法では第2区分帯C2と第4区分帯C4との境界線D4に沿って短い方の上方突起5を変位させながら長い方の下方突起6が第4区分帯C4の経絡に当接する間隔に沿って二又状施術部3を前後に少しずつ移動しながら頭頂部を前後方向に横断していく。 Particularly, in the therapy in the fourth section band C4, the shorter lower projection 6 is displaced while the shorter upper projection 5 is displaced along the boundary line D4 between the second section band C2 and the fourth section band C4. The bifurcated portion 3 is moved back and forth little by little along the interval of contact with the meridian, and the head is traversed in the front-back direction.

但し、必要によってはかかる横断施術ではなく所定のポイントのみを選択して施術することも可能である。所定の施術ポイントは第4区分帯における経絡に沿って有効な皮下組織施術に適合するポイントとし、この位置は施術者Rの知見と経験により選択特定されるものである。 However, if necessary, it is possible to select only a predetermined point and perform the operation instead of the crossing operation. The predetermined operation point is a point suitable for effective subcutaneous tissue operation along the meridian in the fourth zone, and this position is selected and specified by the operator R's knowledge and experience.

更には、第4区分帯における療法では第2区分帯C2と第4区分帯C4との各ポイントにおいては二又状施術部3の上方突起5と下方突起6をそれぞれとに交互に又は同時に押圧応力をかける。 Further, in the therapy in the fourth section band, the upper projection 5 and the lower projection 6 of the bifurcated operation part 3 are alternately or simultaneously pressed at each point of the second section band C2 and the fourth section band C4. Apply stress.

特に、第2区分帯C2と第4区分帯C4との境界線D4を二又状施術部3の上方突起5により、第4区分帯の側頭筋M5を下方突起6により押圧刺激するに際してはまず短手状の上方突起前端5aを支点とし下方突起前端6aを作用点として押圧刺激し、次いでその反対に長めの下方突起前端6aを支点として上方突起5を作用点として押圧刺激することにより上下各突起5、6を交互に押圧支点と押圧作用点となるように押圧刺激点を変更しながら施術を行う。 In particular, when the boundary line D4 between the second section band C2 and the fourth section band C4 is pressed by the upper protrusion 5 of the bifurcated operation part 3 and the temporal muscle M5 of the fourth section band is pressed by the lower protrusion 6, First, the short-sided upper protrusion front end 5a is used as a fulcrum and the lower protrusion front end 6a is used as an action point for pressure stimulation, and conversely, the longer lower protrusion front end 6a is used as a fulcrum for the upper protrusion 5 as an action point. The operation is performed while changing the pressing stimulus point so that the protrusions 5 and 6 alternately serve as the pressing fulcrum and the pressing action point.

上記のように第1区分帯から第4区分帯の各エリアにおいて二又状施術部3による施術が行われるものであるが、施術器本体1の使用に際しては膨大した肉厚部形状の把持部2を左手の手のひらで握りうつ伏せに寝た患者の頭部に対して二又状施術部3を垂直に当てる。 As described above, the treatment is performed by the bifurcated treatment portion 3 in each area from the first division band to the fourth division belt. However, when the treatment device main body 1 is used, the grip portion having an enormous thickness portion is used. The bifurcated operation part 3 is vertically applied to the head of a patient who holds 2 in the palm of his left hand and lies prone.

同時に右手の手のひらを二又状施術部3の基部のグリップ部4の後端、例えばグリップ部のT字横辺部に当てて把持部2を後端方向から押圧しながら左手で把持部2を介して二又状施術部3を患者の頭部に押圧し所定の皮下組織に療養刺激を行う。 At the same time, the palm of the right hand is applied to the rear end of the grip part 4 at the base of the bifurcated operation part 3, for example, the T-shaped lateral side part of the grip part, and the grip part 2 is pressed from the rear end direction while holding the grip part 2 with the left hand. The bifurcated operation part 3 is pressed against the patient's head through the medical treatment, and a prescribed subcutaneous tissue is subjected to therapeutic stimulation.

しかも、二又状施術部3の上方突起5は把持部2の軸線方向に沿って突出させると共に、下方突起は把持部の軸線方向に対して約40°〜60°傾斜して設けたため、各区分帯に対して施術器本体1を垂直に押し当て把持部2の軸線方向に押圧応力をかけた際の押圧応力をより均等に上下方突起5、6を介して的確に患部に伝え、各区分帯のエリアにおける皮下組織の経絡等を刺激することができる。 Moreover, since the upper protrusion 5 of the bifurcated treatment part 3 is projected along the axial direction of the grip portion 2, and the lower protrusion is provided at an angle of about 40° to 60° with respect to the axial direction of the grip portion, The pressing stress when applying the pressing stress in the axial direction of the grip portion 2 by vertically pressing the practitioner main body 1 against the segment band is more evenly transmitted to the affected area via the upper and lower projections 5 and 6, It is possible to stimulate the meridians and the like of the subcutaneous tissue in the area of the zone.

また、施術器本体1は素材を樹脂とし、二又状施術部3の機能表面は滑り摩擦が大となるような粗造面30に形成し、先端に向かっては漸次先鋭状とすると共に、最先端部分は平面視アール形状、側面視先端漸次肉薄状としたことにより、患部に二又状施術部3を押し当て長さの異なる上下方突起5、6をそれぞれ交互に支点と作用点の各機能を果たすように操作使用するときに重量感を持って正確な押圧操作ができると共に、支点と作用点となる上下方突起前端5a、6aが滑動して患部からずれる虞がなく皮下組織に有効な刺激作用を確実に付与し、皮下組織刺激による現代病療法施術が可能となる。 The material of the practitioner main body 1 is made of resin, and the functional surface of the bifurcated treatment part 3 is formed on the rough surface 30 so that the sliding friction is large, and is gradually sharpened toward the tip. The most distal portion is rounded in plan view and gradually thinned in the side view, so that the bifurcated surgical portion 3 is pressed against the affected area and the upper and lower protrusions 5 and 6 of different lengths are alternately fulcrum and point of action. When operated and used to perform each function, it is possible to perform a precise pressing operation with a feeling of weight, and the front and rear projections 5a and 6a, which serve as a fulcrum and a point of action, do not slip on the subcutaneous tissue without slipping off the affected area. It surely gives an effective stimulating action, and it becomes possible to perform modern disease therapy by stimulating subcutaneous tissue.

また、湾曲状としたグリップ部4のT字横辺部は首の基部の皮下組織を押圧刺激に使用することも可能である。 In addition, the T-shaped lateral portion of the curved grip portion 4 can also use the subcutaneous tissue at the base of the neck for pressure stimulation.

また、二又状施術部3の上下方突起5、6は扁平状とし、扁平先端縁は肉厚中央部を凹状に形成することにより扁平両側面に左右両側突縁部5b、5c、6b、6cを形成して、頭蓋骨表面の皮膚接点が多い分摩擦抵抗を大として安定した押圧力を患部に対してかけることも可能である。 Further, the upper and lower protrusions 5 and 6 of the bifurcated treatment part 3 have a flat shape, and the flattened tip edge is formed in a concave shape at the central portion of the wall thickness, so that the flattened side surfaces have both right and left side projecting edge portions 5b, 5c and 6b. By forming 6c, it is also possible to apply a stable pressing force to the affected area by increasing the frictional resistance as much as there are many skin contacts on the surface of the skull.

〔3.皮下組織療法施術器における表面粗さの測定〕
次に、本実施例に係る皮下組織療法施術器において、二又状施術部の機能表面に形成した粗造面の表面粗さの検証を行なった。
[3. Measurement of Surface Roughness in Subcutaneous Tissue Therapy Device]
Next, in the subcutaneous tissue therapy apparatus according to this example, the surface roughness of the rough surface formed on the functional surface of the bifurcated operation part was verified.

検証に用いた皮下組織療法施術器は、二又状施術部の上下方突起前端の機能表面としてサンドブラスト処理して粗造面を形成したもの、3Dプリンタにより上下方突起前端に上下方向に沿った微細な凹凸の粗造面を形成したものとした。また、比較用に、硬質プラスチックで扁平状に金型成形され、端縁に複数の押圧突部を有したかっさプレートを測定に供した。 The subcutaneous tissue therapy practitioner used for the verification was sandblasted to form a rough surface as the functional surface of the upper and lower projection front ends of the bifurcated treatment part. A rough surface having fine irregularities was formed. For comparison, a Kassa plate, which was made of hard plastic and had a flat shape and had a plurality of pressing protrusions at its edges, was used for the measurement.

皮下組織療法施術器の二又施術部における粗造面の測定は、表面粗さ・輪郭形状統合測定機((株)東京精密 Surfcom5000DX)を用い、測定器の計測針にて平面視で上下方突起表面をそれぞれ外側から二又の谷部、二又の谷部から外側へとなぞることを複数回(それぞれ5回)実施することで行った。また、表面粗さは、JIS B6001-2001に準じて算術平均高さ(Ra)として算出した。同様に、比較用のかっさプレートの表面粗さの測定は、上記測定方法に準じて行い、Raを算出することにより行った。 The rough surface in the bifurcated treatment part of the subcutaneous tissue therapy surgical instrument is measured using a surface roughness/contour profile integrated measuring machine (Tokyo Seimitsu Surfcom5000DX Co., Ltd.) in a plan view with a measuring needle of the measuring instrument. The projection surface was traced from the outside to the bifurcated valley portion and from the bifurcated valley portion to the outside by performing the tracing a plurality of times (5 times each). The surface roughness was calculated as the arithmetic average height (Ra) according to JIS B6001-2001. Similarly, the surface roughness of the comparative brass plate was measured according to the above measuring method, and Ra was calculated.

その結果、皮下組織療法施術器における二又施術部の粗造面の表面粗さはRa 10μm〜35μmの範囲、特にRa 15μm〜30μmの範囲で多く検出された。また、皮下組織療法施術器の外観は、施術器本体全体の粗造面に由来するくすんだ色合いを呈していた。 As a result, the surface roughness of the roughened surface of the bifurcated treatment part in the subcutaneous tissue treatment device was detected in the range of Ra 10 μm to 35 μm, particularly in the range of Ra 15 μm to 30 μm. In addition, the appearance of the subcutaneous tissue therapy surgical instrument had a dull color due to the rough surface of the entire surgical instrument main body.

一方で、比較用のかっさプレートは、外観に光沢があり、表面粗さはRa 0.04μm〜0.2μmの範囲で皮下組織療法施術器の低い値を示した。 On the other hand, the brass plate for comparison had a glossy appearance, and the surface roughness was in the range of Ra 0.04 μm to 0.2 μm, which was the low value of the subcutaneous tissue therapy surgical instrument.

このような結果から本発明にかかる皮下組織療法施術器では、表面粗さRa 10μm〜35μmの粗造面に由来する凸部が患部の皮膚組織にくい込み皮膚面を滑らずに掴むようにして皮下組織療法施術器を安定状態とし、凸部から直接的に皮下組織に押圧力を付与して人体有用機能部に押圧刺激を与えて整体施術効果を向上することが示唆された。 From such a result, in the subcutaneous tissue therapy apparatus according to the present invention, the convex portion derived from the rough surface having the surface roughness Ra of 10 μm to 35 μm is included in the skin tissue of the affected area so that the skin surface can be grasped without slipping. It was suggested that the operation device should be in a stable state and that the pressing force should be applied directly to the subcutaneous tissue from the convex part to give a pressing stimulus to the useful human function part to improve the manipulative treatment effect.

〔4.皮下組織療法施術器の評価〕
次に、皮下組織療法施術器の評価を行った。評価に用いる器具は、皮下組織療法施術器として粗面加工を施さない施術器S1、表面粗さRa 10μm〜35μmの粗面加工を施した施術器S2、また、比較用として〔3.皮下組織療法施術器における表面粗さの測定〕に供した比較用かっさプレートとした。
[4. Evaluation of Subcutaneous Tissue Therapy Device
Next, the subcutaneous tissue therapy operation device was evaluated. The instruments used for the evaluation are a surgical instrument S1 which is not subjected to rough surface treatment as a subcutaneous tissue therapy surgical instrument, a surgical instrument S2 which is subjected to a rough surface treatment with a surface roughness Ra of 10 μm to 35 μm, and also for comparison [3. Measurement of surface roughness in subcutaneous tissue therapy operating device] was used as a comparative brass plate.

皮下組織療法施術器の評価は、各器具を用いて〔2.皮下組織療法施術器を使用した臨床実施態様〕で示した押圧施術をした場合において、施療者の操作性の観点評価と被施療者の被施療感の観点評価とに分けて行なった。 Evaluation of the subcutaneous tissue therapy operating device was performed using each instrument [2. [Clinical Embodiment Using Subcutaneous Tissue Therapy Surgery Device] In the case of performing the pressing treatment described above, the viewpoint evaluation of the operability of the user and the viewpoint evaluation of the treatment feeling of the user were performed separately.

施療者の操作性の観点評価は、施療者5名によりそれぞれが担当する被施療者の頭皮表面での器具の安定感やグリップ感を総合的に判断して1〜5の5段階評価とし、数値が大きいほど安定性やグリップ性が高い印象であることとした。その結果を表1に示す。

Figure 0006749622
From the viewpoint of the user's operability, the five users will be evaluated on a scale of 1 to 5 by comprehensively judging the feeling of stability and grip of the instrument on the scalp surface of the user to be treated, It was decided that the higher the value, the higher the stability and grip. The results are shown in Table 1.
Figure 0006749622

表1からも分かるように、施術器S1及び施術器S2は、比較用かっさに比して施術者にとっていずれも安定性やグリップ性が高い印象であることが示された。 As can be seen from Table 1, it is shown that the practitioner S1 and the practitioner S2 are both highly stable and have a high grip for the practitioner as compared with the comparative braces.

特に、粗面加工を施していない施術器S1より粗面加工を施した施術器S2の方が、施術時の安定性やグリップ性が良好で、違和感なく少ない応力で押圧施療がしやすいとの回答が複数あった。 In particular, the surgical instrument S2 that has been roughened is better in stability and grip during treatment than the surgical instrument S1 that has not been roughened, and it is easier to perform pressure treatment with less stress without discomfort. There were multiple answers.

次に、被施療者の被施療感の観点評価を行なった。被施療者の被施療感の観点評価は、上述した各施療者がそれぞれ担当した被施療者5名による器具先端から伝わる感覚、すなわち器具の突起部分による被掴持感、器具による頭皮突っ張り操作時の頭皮の緊張感、器具による頭皮への押圧感を総合的に判断して1〜5の5段階評価とし、数値が大きいほど頭皮の被掴持感や緊張感、押圧感といった被施療感が高い印象であることとした。その結果を表2に示す。

Figure 0006749622
Next, the viewpoint evaluation of the treatment feeling of the user was performed. The viewpoint evaluation of the user's feeling of treatment is performed by the above-mentioned five users who are in charge of the feelings transmitted from the tip of the device, that is, the feeling of being held by the protruding part of the device and the scalp thrusting operation by the device. The scalp's tension and the feeling of pressure on the scalp by the device are comprehensively evaluated, and a 5-level evaluation of 1 to 5 is made. The larger the value, the more the scalp is gripped, the feeling of tension, and the feeling of treatment such as pressure. I decided to have a high impression. The results are shown in Table 2.
Figure 0006749622

表2からも分かるように、施術器S1及び施術器S2は、施療者の操作性の観点評価と同様にその被施術者にとっても、比較用かっさに比して被施療感が高い印象であることが示された。 As can be seen from Table 2, the practitioner S1 and the practitioner S2 have a high impression that the practitioner has a higher sense of treatment than the comparative braces, similarly to the viewpoint evaluation of the operability of the practitioner. It was shown to be.

また、粗面加工を施していない施術器S1よりも粗面加工を施した施術器S2の方が、二又施術部を頭皮表面に押し当てられた際にはあたかも手指により区分帯における頭皮を掴みこまれた状態で押圧されている感覚であるとの回答が複数あった。 In addition, the surgical instrument S2 that has been subjected to the rough surface treatment is more likely than the surgical instrument S1 that has not been subjected to the rough surface treatment to move the scalp in the divided band with fingers when the bifurcated treatment portion is pressed against the scalp surface. There were multiple answers that it was a feeling of being pressed while being grabbed.

以上のことから、本実施形態にかかる皮下組織療法施術器は、従来のマッサージ器としての「かっさプレート」のように、単に「押す」、「摩る」といった従来の役割を果たしてマッサージ効果を得ようとするものとは根本的に異なり、「皮膚のストレッチ状況下」で「押す」「回す」「引き寄せる」ことによりその下の組織が押圧方向から逃れることなく圧縮されることが示唆された。 From the above, the subcutaneous tissue therapy treatment apparatus according to the present embodiment plays a conventional role of simply “pushing” and “rubbing” like a “massage plate” as a conventional massager to provide a massage effect. It is fundamentally different from the one to be obtained, and it was suggested that the tissue underneath can be compressed without escaping from the pressing direction by "pushing", "turning" and "pulling" under "skin stretch condition". ..

特に、皮下組織療法施術器において、二又状施術部の機能表面を滑り摩擦が大となるような粗造面に形成したことにより、頭皮を皮下組織ごと掴み、同組織を押し潰す様に最大限に引っ張った上で押し回すことができることが判明した。 In particular, in the subcutaneous tissue therapy operation device, the functional surface of the bifurcated operation part is formed into a rough surface that causes large sliding friction, so that the scalp can be grasped together with the subcutaneous tissue and the maximum can be crushed. It turns out that you can push it around after pulling it to the limit.

このように、本発明に係る皮下組織療法施術器によれば、二又状施術部により頭蓋骨の球表面をなぞりながら患部を押圧刺激しながら施術し、頭蓋骨に対して最も押圧応力のかかる方向をうつ伏せに寝た患者の頭部の垂直方向、すなわち、患者の起立姿勢での頭部水平方向を4区分帯に区分けしこの4区分帯を頭蓋骨の後面部から頭頂部にかけて皮下組織の刺激療法をすることができる効果がある。 Thus, according to the subcutaneous tissue therapy surgical instrument of the present invention, the bifurcated surgical portion is used to perform the treatment while stimulating the affected area while tracing the spherical surface of the skull, and the direction in which the most pressing stress is applied to the skull. The vertical direction of the head of the patient lying prone, that is, the horizontal direction of the head in the standing position of the patient, is divided into 4 sections, and the 4 sections are subjected to subcutaneous tissue stimulation therapy from the posterior surface of the skull to the crown. There is an effect that can be.

最後に、上述した各実施の形態の説明は本発明の一例であり、上述した各実施の形態以外であっても、本発明に係る技術的思想を逸脱しない範囲であれば、設計等に応じて種々の変更が可能であることは勿論である。 Lastly, the description of each of the above-described embodiments is an example of the present invention, and other than each of the above-described embodiments, as long as it does not deviate from the technical idea of the present invention, depending on the design etc. It goes without saying that various modifications are possible.

A 皮下組織療法施術器
1 施術器本体
2 把持部
3 二又状施術部
4 グリップ部
5 上方突起
6 下方突起
A Subcutaneous Tissue Therapy Surgery Device 1 Surgery Device Body 2 Grip 3 Bifurcated Treatment 4 Grip 5 Upper Protrusion 6 Lower Protrusion

Claims (8)

把持部と把持部の先端に形成した頸頭部用の二又状施術部と把持部の後端に形成したグリップ部とにより施術器本体を構成し、しかも、頸頭部用の二又状施術部は施術時に頸部に近い方に位置する下方突起と頭頂部に近い方に位置する上方突起の組み合わせにより構成し、
二又状施術部の上方突起前端と下方突起前端は頭蓋骨表面を後頭部から前頭部にかけて4区分帯に区分けした場合の各区分帯の両側縁線に跨って定置可能な間隔に形成しており、
しかも、頭蓋骨を後頭部から前頭部にかけて区分した4区分帯のうち、
頭蓋骨表面を区分けした第1区分帯は、左右側頭骨間の頭蓋底を層状に被覆する後頭下筋群部分で、且つ頭項線中の下項線と頭項線中の上項線との間に位置する表面湾曲状エリアを仮定し、
頭蓋骨表面を区分けした第2区分帯は、左右側頭骨間の頭蓋冠後半部を被覆する後頭筋部分と帽状腱膜部分で、且つ頭項線中の上項線と前頭筋との間におけるエリアと左右側頭骨のエリアとの各エリアで区画された表面湾曲状エリアを仮定し、
頭蓋骨表面を区分けした第3区分帯は、左右側頭骨間の頭蓋冠前半部を被覆する前頭筋部分で区画された表面湾曲状エリアを仮定し、
頭蓋骨表面を区分けした第4区分帯は、左右側頭骨を被覆する側頭筋部分で区画された表面湾曲状エリアを仮定した場合において、
二又状施術部の上下方突起前端の間隔は、
第1区分帯と第2区分帯との境界線を跨いで下方突起が第1区分帯の経絡に上方突起が第2区分帯の経絡にそれぞれ当接する間隔、第2区分帯のエリア内において各前後方向に散在する前後経絡に当接する間隔、第2区分帯と第3区分帯との境界線に沿って上方突起を変位させながら下方突起が第3区分帯の経絡に当接する間隔、第2区分帯と第4区分帯との境界線に沿って上方突起を変位させながら下方突起が第4区分帯の経絡に当接する間隔等、各間隔を充足することを特徴とする皮下組織療法施術器。
The surgical instrument main body is composed of a grip portion and a bifurcated cervical head treatment portion formed at the tip of the grip portion and a grip portion formed at the rear end of the grip portion. The operation part is composed of a combination of a lower protrusion located closer to the neck and an upper protrusion located closer to the crown at the time of treatment,
The front end of the upper protrusion and the front end of the lower protrusion of the bifurcated treatment part are formed at intervals that can be placed across both edge lines of each division zone when the skull surface is divided into four division zones from the occipital region to the frontal region. ,
Moreover, of the four division bands that divide the skull from the occipital region to the frontal region,
The first segmented zone that divides the surface of the skull is the suboccipital muscle group portion that covers the skull base between the left and right temporal bones in layers, and the lower term line of the head line and the upper term line of the head line. Assuming surface curved areas located in between,
The second division zone that divides the surface of the skull is the occipital muscle portion covering the posterior half of the calvaria between the left and right temporal bones, and the cap-shaped aponeurosis portion, and between the superior term line and the frontal muscle in the cranial line. Assuming a surface curved area partitioned by each area of the area and the area of the left and right temporal bones,
The third zone that divides the surface of the skull assumes a curved surface area divided by the frontal muscle portion covering the anterior half of the calvaria between the left and right temporal bones,
The 4th division zone that divides the surface of the skull, assuming a curved surface area divided by the temporal muscle part covering the left and right temporal bones,
The distance between the upper and lower projections of the bifurcated part is
An interval in which the lower protrusion abuts on the meridian of the first division band and the upper protrusion abuts on the meridian of the second division band across the boundary line between the first division band and the second division band. An interval of contact with front and rear meridians scattered in the front-rear direction, an interval of contact of the lower protrusion with the meridian of the third partition band while displacing the upper protrusion along the boundary line between the second segment band and the third segment band, Subcutaneous tissue therapy apparatus characterized in that each interval is satisfied, such as an interval in which the lower protrusion abuts the meridian of the fourth segment band while displacing the upper protrusion along the boundary line between the segment band and the fourth segment band. ..
二又状施術部の下方突起は、上方突起よりも先端方向に長く突出した形状に構成し、しかも、二又状施術部の上下方突起前端の間隔は、第1区分帯と第2区分帯との境界線を跨いで長い方の下方突起が第1区分帯の経絡に短い方の上方突起が第2区分帯の経絡にそれぞれ当接する間隔、第2区分帯のエリア内において各前後方向に散在する前後経絡に当接する間隔、第2区分帯と第3区分帯との境界線に沿って短い方の上方突起を変位させながら長い方の下方突起が第3区分帯の経絡に当接する間隔、第2区分帯と第4区分帯との境界線に沿って短い方の上方突起を変位させながら長い方の下方突起が第4区分帯の経絡に当接する間隔等、各間隔を充足することを特徴とする請求項1に記載の皮下組織療法施術器。 The lower protrusion of the bifurcated treatment part is configured to project longer in the tip direction than the upper protrusion, and the distance between the front ends of the upper and lower protrusions of the bifurcated treatment part is determined by the first section band and the second section band. An interval in which the longer downward protrusions straddle the boundary line of and contact the meridian of the first section band and the shorter upper protrusions contact the meridian of the second section band, respectively, in the front-rear direction within the area of the second section band. Intervals of contact with scattered front and rear meridians, intervals of contact of long lower projections with meridians of the third section band while displacing shorter upper projections along the boundary line between the second and third section bands. , Satisfying the respective intervals, such as the interval at which the longer lower projection abuts the meridian of the fourth section band while displacing the shorter upper projection along the boundary line between the second section band and the fourth section band. The subcutaneous tissue therapy treatment device according to claim 1. 二又状施術部の上方突起は把持部の軸線方向に沿って突出させると共に、下方突起は把持部の軸線方向に対して約40°〜60°傾斜して設けていることを特徴とする請求項1又は請求項2に記載の皮下組織療法施術器。 The upper protrusion of the bifurcated surgical portion is projected along the axial direction of the grip portion, and the lower protrusion is provided at an angle of about 40° to 60° with respect to the axial direction of the grip portion. The subcutaneous tissue therapy treatment device according to claim 1 or 2. 二又状施術部の上下方突起は扁平状とし、扁平先端縁は肉厚中央部を凹状に形成することにより扁平両側面に左右両側突縁部を形成したことを特徴とする請求項1〜請求項3のいずれか1項に記載の皮下組織療法施術器。 The upper and lower projections of the bifurcated portion to be treated have a flat shape, and the flat leading edge has a concave thickness at the central portion to form left and right projecting edges on both flat sides. The subcutaneous tissue therapy treatment device according to claim 3. 二又状施術部とグリップ部との間の棒状の把持部を施術者の手掌握部の幅員として把持した際に手掌握部の幅員両端面が二又状施術部とグリップ部に密着するように構成したことを特徴とする請求項1〜4のいずれか1項に記載の皮下組織療法施術器。 When the rod-shaped gripping part between the bifurcated operation part and the grip part is grasped as the width of the palm grip of the practitioner, both widthwise end surfaces of the palm grip are in close contact with the bifurcated operation part and the grip part. 5. The subcutaneous tissue therapy surgical instrument according to claim 1, wherein 二又状施術部は先端に向かっては漸次先鋭状とすると共に、最先端部分は平面視アール形状、側面視先端漸次肉薄状としたことを特徴とする請求項1〜5のいずれか1項に記載の指圧に代わるつぼ皮下組織療法施術器。 The bifurcated portion is gradually sharpened toward the tip, and the distal end portion is rounded in a plan view and gradually thinned in a side view. 7. Substitute for acupressure subcutaneous tissue therapy in place of acupressure. 把持部の前端に形成した二又状施術部の機能表面は滑り摩擦が大となるような粗造面に形成したことを特徴とする請求項1〜6のいずれか1項に記載の皮下組織療法施術器。 The subcutaneous tissue according to any one of claims 1 to 6, wherein the functional surface of the bifurcated treatment portion formed at the front end of the grip portion is formed into a rough surface so that sliding friction is large. Therapy unit. 施術器本体は素材を樹脂とし、施術作業時に重量感を保持し安定した施術が実施できるように構成したことを特徴とする請求項1〜7のいずれか1項に記載の皮下組織療法施術器。 The subcutaneous tissue therapy surgical instrument according to any one of claims 1 to 7, wherein the surgical instrument main body is made of a resin, and is configured to maintain a feeling of weight during a surgical operation and to perform a stable surgical operation. ..
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